Andrew Michael Bohunicky, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-09487 Issued in NC

Practice address

4085 Mallory LN Ste 200
Franklin, TN 37067-8291

Phone

(615) 721-2001

NPI assigned

Nov 15, 2019

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: abohunicky610000@direct.unc.nchie.net

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1821633629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NAPA VALLEY WAY APT 31",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015138",
            "telephone_number": "607-425-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 MALLORY LN STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678291",
            "telephone_number": "615-721-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHUNICKY",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abohunicky610000@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "115 Kildaire Park Dr Ste 108",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275188144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Boehm
• Helen J Boerman, OD, FAAO
• Sharon Bogard, COTA
• Kayla Bohanan, LPC-MHSP
• Megan Elizabeth Bohannon, MS, CCC-SLP
• Christopher M Boles, D.C.
• Suzanne Boles, RDN, LDN
• Lance W Bolin, PA-C
• Callann Lane Bolinger, SUPERVISED MFT
• Jason Bollenbaugh, D.C.

• Physician Assistant in Franklin, TN
• Providers in Franklin, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.