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TIMOTHY BOHANNON PARAMEDIC
NPI 1619778115
Emergency Medical Technician, Paramedic in Canon, GA

Active since March 20, 2025
1870 AIRPORT RD, CANON, GA 30520(706) 491-5748 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Bohannon Paramedic NPPES

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

TIMOTHY BOHANNON PARAMEDIC (NPI 1619778115) is an individual emergency medical technician, paramedic in Canon, Georgia, licensed in Georgia (005822) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1619778115
Entity TypeIndividualMale
Primary Taxonomy146L00000X
Provider Legal NameTIMOTHY BOHANNONCredential: PARAMEDIC
Location Address1870 AIRPORT RDCanon, GA 30520-2005
Mailing Address1870 Airport RdCanon, GA 30520-2005 · (706) 491-5748
Phone(706) 491-5748
Sole ProprietorYes
Enumeration DateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1619778115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License✔ Licensed in GA · 005822
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
1870 AIRPORT RD, Canon, GA 30520
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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 Timothy Bohannon's NPI number?

The NPI number for Timothy Bohannon is 1619778115. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Where is Timothy Bohannon located?

Timothy Bohannon practices at 1870 Airport Rd, Canon, GA 30520. The listed phone number is (706) 491-5748.

What is Timothy Bohannon's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

When was this NPI record last updated?

The NPPES record for Timothy Bohannon was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.