JESSICA LYNN BOHANNON AGACNP-BC, FNP-BC
NPI 1699253435
Nurse Practitioner - Acute Care in Statesboro, GA

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
1601 FAIR RD STE 600, STATESBORO, GA 30458(912) 681-4911 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2022, Jan 12, 2022, Jul 29, 2019 and 1 more (4 updates tracked since 2018).

About Jessica Lynn Bohannon Agacnp-bc, Fnp-bc NPPES

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

JESSICA LYNN BOHANNON AGACNP-BC, FNP-BC (NPI 1699253435) is an individual acute care provider in Statesboro, Georgia, licensed in Georgia (RN208956) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699253435
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJESSICA LYNN BOHANNONCredential: AGACNP-BC, FNP-BC
Location Address1601 FAIR RD STE 600Statesboro, GA 30458-0800
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 3, 2018
Last NPPES UpdateJanuary 31, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
NPI 1699253435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN208956
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN208956 (GA), 5010805 (NC)
1601 FAIR RD STE 600, Statesboro, GA 30458

Secondary Practice Locations 2

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 847-4299
Location 24700 Waters Ave Ste 507Savannah, GA 31404-6220 · Phone (912) 350-4750 · Fax (912) 350-4751

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Lynn Bohannon Agacnp-bc, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911243530
PECOS Enrollment IDI20200604002104
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420080
Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Pulmonary Disease)
1601 FAIR RD STE 600
STATESBORO, GA 30458
Internal Medicine (Pulmonary Disease)
1601 FAIR RD STE 600
STATESBORO, GA 30458
Internal Medicine (Pulmonary Disease)
1601 FAIR RD STE 600
STATESBORO, GA 30458
Internal Medicine (Pulmonary Disease)
1601 FAIR RD STE 600
STATESBORO, GA 30458
Physician Assistant
1601 FAIR RD STE 600
STATESBORO, GA 30458

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 Jessica Bohannon's NPI number?

The NPI number for Jessica Bohannon is 1699253435. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Jessica Bohannon located?

Jessica Bohannon practices at 1601 Fair Rd Ste 600, Statesboro, GA 30458. The listed phone number is (912) 681-4911.

What is Jessica Bohannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jessica Bohannon enrolled in Medicare?

Yes. Jessica Bohannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jessica Bohannon affiliated with any hospitals?

According to CMS data, Jessica Bohannon is affiliated with Memorial University Medical Center and Hilton Head Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Bohannon was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.