Individual provider Active NPI

William B Bohannon, DO

  • Family Medicine Physician
  • Lagrange, GA
National Provider Identifier
1467439133
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92783 Issued in GA
Practice address
1497 Lafayette Pkwy
Lagrange, GA 30241-2552
Phone
(706) 803-8190
NPI assigned
Dec 23, 2005
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0818 AL
Family Medicine Physician 207Q00000X 92783 GA Primary

Addresses

Primary practice location

1497 Lafayette Pkwy
Lagrange, GA 30241-2552

Mailing address

1497 Lafayette Pkwy
Lagrange, GA 30241-2552
Phone (706) 803-8190

Other practice location 1

400 E 10th St
Anniston, AL 36207-4716
Phone (256) 741-6464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wbohannon580720@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041110000660 AL Practitioner - Family Practice 4082677059 Reassigns benefits to 4 organizations
Practice locations: Anniston, AL
I20240815002523 GA Practitioner - Family Practice 4082677059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Rural Urgent Care LLCGroup PAC ID 8820305600, shared by 21 NPIs, 171 clinicians

Practice addresses (Care Compare)

1025 E W Connector
Suite 520
Austell, GA 30106-8532
Phone (678) 273-3071

120 Greystone Power Blvd
Dallas, GA 30157-8297

12201 Hwy 92
Suite D
Woodstock, GA 30188-7141
Phone (770) 517-4621

12460 Crabapple Rd
Suite 901
Alpharetta, GA 30004-6392
Phone (678) 762-0574

1497 Lafayette Pkwy
Lagrange, GA 30241-2552
Phone (706) 880-7222

1550 Kennesaw Due W Rd NW
Kennesaw, GA 30152-4338

211 E Broad St
Pine Mountain, GA 31822-7700
Phone (706) 880-7222

2450 Old Milton Pkwy
Alpharetta, GA 30009-2520

2508 Hwy 280
Alexander City, AL 35010-3679
Phone (256) 414-3013

2890 Delk Serd
Marietta, GA 30067-5326
Phone (770) 955-8620

3306 20TH Ave
Valley, AL 36854-3201
Phone (334) 756-0305

4477 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-6720
Phone (770) 249-5620

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

780 Church St NE
Marietta, GA 30060-7269

837 Battle St E
Talladega, AL 35160-2670
Phone (256) 649-8134

8901 Stonebridgde Blvd
Suite 100
Douglasville, GA 30134-2253
Phone (943) 202-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
D0818ALMDFamily Medicine Physician
92783GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority of the City of Anniston CurrentSince May 24, 2010 Accepting new patients
Anniston Pathology Current Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince May 24, 2010 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jun 1, 2012 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 15, 2024 Accepting new patients
Southern Immediate Care, LLC CurrentSince Feb 25, 2022 Accepting new patients
American Family Care, LLC CurrentSince Jun 1, 2012 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 28, 2016 Accepting new patients
American Family Care, LLC Current Accepting new patients
Keel and Associates CurrentSince Feb 25, 2022 Accepting new patients
Rural Urgent Care LLC Family Medicine CurrentSince Feb 28, 2016 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

2508 Highway 280
Alexander City, AL 35010
Phone (205) 545-5090

508 E Three Notch St
Ste 100
Andalusia, AL 36420
Phone (334) 362-2015

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

400 E 8th St
Anniston, AL 36207
Phone (256) 237-8527

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

956 Gilbert Ferry Rd SE
Attalla, AL 35954
Phone (256) 344-0065

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1401 Highway 14
Millbrook, AL 36054
Phone (334) 310-6059

6280 Grelot Rd
Mobile, AL 36609
Phone (251) 288-5606

1195 S Alabama Ave
Monroeville, AL 36460
Phone (251) 743-2560

2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480

2022 2nd Ave E
Oneonta, AL 35121
Phone (205) 545-5090

300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260

1475 AL Highway 14 E
Selma, AL 36703
Phone (334) 430-1799

40900 US Highway 280
Sylacauga, AL 35150
Phone (256) 369-0022

837 Battle St E
Talladega, AL 35160
Phone (256) 649-8134

3306 20th Ave
Valley, AL 36854
Phone (205) 545-5090

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1497 Lafayette Pkwy
Lagrange, GA 30241
Phone (706) 845-1990

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wbohannon580720@directwellstar.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1467439133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412552",
            "telephone_number": "706-803-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412552",
            "telephone_number": "706-803-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362074716",
            "country_code": "US",
            "telephone_number": "256-741-6464",
            "fax_number": "256-231-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHANNON",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "D0818",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "92783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wbohannon580720@directwellstar.org",
            "affiliation": "N",
            "address_1": "1497 Lafayette Pkwy",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302412552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.