Eric L Bohn, M.D.
Individual provider Active NPI Family Medicine Physician · Flowery Branch, GA
NPI 1811989320 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1811989320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 038691 (GA)
- Practice address
- 4754 Martin Rd
Flowery Branch, GA 30542-3507 - Phone
- (770) 965-0847
- Fax
- (770) 965-0974
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Georgia Physicians Group Inc
Practice addresses (Care Compare)
4754 Martin Rd
Flowery Branch, GA 30542-3507
Phone (770) 965-0847
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisy Company
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081229000102 | GA | Practitioner - Family Practice | 8921160045 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038691 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Urgent Care LLC | Family Medicine | Current |
Accepting new patients |
| Northeast Georgia Physicians Group Inc | Family Medicine | Current |
Accepting new patients |
Locations
1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195
4754 Martin Rd
Flowery Branch, GA 30542
Phone (770) 848-9130
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Interoperability endpoints
- ebohn29337@nghs.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 038691 | GA | Yes |
Addresses
Primary practice location
4754 Martin Rd
Flowery Branch, GA 30542-3507
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00624577B | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebohn29337@nghs.gadirect.net | Direct |
Other providers in Flowery Branch, GA
- Steven Benjamin
- Salman Bhatti
- Staci Sandler Blackmore
- Brendon Blake
- Gina Renee Blake
- Trevor Bond
- Booker Oral Surgery & Implant Center PC
- Reginald Douglas Booker
- Karon Bradley
- Rebecca Braselton
All providers in Flowery Branch, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.