Active NPI
William B Bohannon, DO
- Family Medicine Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 92783
- Practice address
- 1497 Lafayette Pkwy
Lagrange, GA 30241-2552 - Phone
- (706) 803-8190
- NPI assigned
- Dec 23, 2005
- Last updated
- Mar 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wbohannon580720@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Rural Urgent Care LLC
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
- West Georgia Home Care
- Wellstar West Georgia Medical Center
- Wellstar Kennestone Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0818 | AL | MD | Family Medicine Physician |
| 92783 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Care Authority of the City of Anniston | Current | Accepting new patients | |
| Anniston Pathology | Current | Accepting new patients | |
| The Health Care Authority of the City of Anniston | Current | Accepting new patients | |
| American Family Care, LLC | Family Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Southern Immediate Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Keel and Associates | Current | Accepting new patients | |
| Rural Urgent Care LLC | Family Medicine | Current | 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
- https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
- 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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- Urgent Care Clinic/Center
- Anniston, AL
- NPI 1467909978
-
dba Northeast Alabama Regional Medical Center
- General Acute Care Hospital
- Anniston, AL
- NPI 1003996000
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
dba American Family Care
- Primary Care Clinic/Center
- Dothan, AL
- NPI 1528404613
-
- Anatomic Pathology & Clinical Pathology Physician
- Anniston, AL
- NPI 1053387654
-
- General Practice Physician
- Oxford, AL
- NPI 1720136443
-
dba MainStreet Family Care
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
-
dba Stringfellow Campus of Northeast Alabama Regional Medical Center
- General Acute Care Hospital
- Anniston, AL
- NPI 1215976675
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba West Georgia Home Care
- Home Health Agency
- Lagrange, GA
- NPI 1558594887
-
dba WellStar West Georgia Medical Center
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.