MRS. TRACY AIDAN BOHANNON M.E.D
NPI 1023207453
Counselor - Mental Health in Jacksonville, FL
About Mrs. Tracy Aidan Bohannon M.e.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TRACY AIDAN BOHANNON M.E.D (NPI 1023207453) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH23300) and active in the NPI registry since October 2007. She has opted out of Medicare through August 6, 2027.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Tracy Aidan Bohannon M.e.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 6, 2025 through August 6, 2027.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tracy Bohannon's NPI number?
The NPI number for Tracy Bohannon is 1023207453. It was assigned to this individual provider in the NPPES registry on October 22, 2007. The provider is also known as Tracy Adams.
Where is Tracy Bohannon located?
Tracy Bohannon practices at 9210 Cypress Green Dr, Jacksonville, FL 32256. The listed phone number is (904) 206-8405.
What is Tracy Bohannon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tracy Bohannon enrolled in Medicare?
No. Tracy Bohannon has opted out of Medicare through August 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Tracy Bohannon accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Tracy Bohannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tracy Bohannon was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Tracy Aidan Bohannon, M.E.D · NPI 1023207453
Mental Health provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since October 22, 2007.
## Identity
- **NPI:** 1023207453 (Entity type: Individual)
- **Enumerated:** October 22, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH23300 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 9210 CYPRESS GREEN DR, Jacksonville, FL 32256-7772
- **Phone:** (904) 206-8405
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 6, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023207453) · Data from the CMS NPPES public registry.