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KELSEY BOHM PAA
NPI 1245869551
Anesthesiologist Assistant in Atlanta, GA

Active since April 07, 2020
1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322(404) 785-6670(404) 785-1362 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2023, Jun 6, 2022, Jun 25, 2021 and 1 more (4 updates tracked since 2020).

About Kelsey Bohm Paa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY BOHM PAA (NPI 1245869551) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (9401) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1245869551
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKELSEY BOHMCredential: PAA
Location Address1405 CLIFTON RD NE FL 3Atlanta, GA 30322-1060
Mailing Address1405 Clifton Rd Ne Fl 3Atlanta, GA 30322-1060 · (404) 785-6670 · Fax (404) 785-1362
Phone(404) 785-6670
Fax(404) 785-1362
Sole ProprietorNo
Enumeration DateApril 7, 2020
Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1245869551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 9401
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1405 CLIFTON RD NE FL 3, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Bohm Paa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kelsey Bohm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Anesthesia Services, LLC
2.9 mi
Pediatric Anesthesiology
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group
NPI 1437203098 (404) 785-6000
Choa Hospital Based, LLC
2.9 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW LEWIS PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JENNIE NAHODYL PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JESSE FARRIS PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JENNIFER ANNE TENORIO KETCHAM CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
KINGSLEY DUNWOODY PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
LAUREN KEISTER PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
SHIVANI MUKKAMALA MD
Anesthesiology
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
VICTORIA FERNANDEZ PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670

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 Kelsey Bohm's NPI number?

The NPI number for Kelsey Bohm is 1245869551. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Kelsey Bohm located?

Kelsey Bohm practices at 1405 Clifton Rd NE Fl 3, Atlanta, GA 30322. The listed phone number is (404) 785-6670.

What is Kelsey Bohm's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kelsey Bohm enrolled in Medicare?

Yes. Kelsey Bohm is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelsey Bohm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Bohm reassigns Medicare benefits to 2 organizations: Children's Anesthesia Services, LLC (Brookhaven, GA) and Choa Hospital Based, LLC (Brookhaven, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Bohm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Bohm was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.