Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669965489 Individual Practitioner Female Practitioner

Dr. Katherine Pottinger Bohannon , DO

Pediatrics • Calham, GA

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Bohannon, DO is a registered healthcare professional specializing in Pediatrics in Calham, GA. Practice services are available at 204 PROFESSIONAL CT. SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 Professional Ct. Se

Calham, GA 30701

Telephone 7066255900
Associated Practice Facility / Clinic
🏢 Agc Pediatrics, Llc Facility NPI 1356475214

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Calham, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Calham, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 88717

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License GA 010072

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Courtney Johnson , PA-C

Physician Assistant

NPI 1003103870

Physician Assistant (Certified)

Jennifer Smith , PA

Physician Assistant

NPI 1053340471

Physician Assistant

Dana Dockery , LCSW

Counselor - Mental Health

NPI 1104339720

Licensed Clinical Social Worker

Matthew Rumsey

Pediatrics

NPI 1174941165
Lorna Owenby , FNP

Nurse Practitioner - Family

NPI 1194105767

Family Nurse Practitioner

Lisa Reed , PNP-C

Nurse Practitioner - Pediatrics

NPI 1225049109

PNPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 06, 2021

Registered at 204 PROFESSIONAL CT. SE, CALHAM, GA 30701 (Tel: 7066255900)

📍
Updated Business Mailing Address August 06, 2021

Registered at 204 PROFESSIONAL COURT SE, CALHAM, GA 30701 (Tel: 7067665643)

👤
Provider Name / Credentials Updated August 06, 2021

Recorded as KATHERINE BOHANNON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2021

Pediatrics (License #88717 in GA)

NPI Profile Active June 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2018

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067665643)

📍
Updated Business Mailing Address June 07, 2018

Registered at 1120 15TH ST, AUGUSTA, GA 309120004

👤
Provider Name / Credentials Updated June 07, 2018

Recorded as KATHERINE POTTINGER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2018

Pediatrics (License #010072 in GA)

🟢
Initial NPI Registration & Enumeration June 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669965489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2018
Last Update: August 06, 2021
Sole Proprietor: No

Mailing Address

204 Professional Court Se

Calham, GA 30701

Phone: 7067665643

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.