JESSICA LYNN BOHANNON AGACNP-BC, FNP-BC
NPI 1699253435
Nurse Practitioner - Acute Care in Statesboro, GA
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
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Bohannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 105 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Georgia enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial University Medical Center
Acute Care Hospitals · Savannah, GAPhysician 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.
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.
STATESBORO, GA 30458
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.
Which organizations bill Medicare for Jessica Bohannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bohannon reassigns Medicare benefits to 2 organizations: Savannah Multispecialty Associates, LLC (Savannah, GA) and Intensive Care Consortium Inc (Aventura, FL). 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 Jessica Bohannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Bohannon accept?
Health plans from Alliant Health Plans, Inc., First Choice Next and Oscar Health list Jessica 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.
Is Jessica Bohannon affiliated with any hospitals?
According to CMS data, Jessica Bohannon is affiliated with Memorial University 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.
# Jessica Lynn Bohannon, AGACNP-BC, FNP-BC · NPI 1699253435
Acute Care physician in Statesboro, Georgia. Individual provider, active in the CMS NPPES registry since August 3, 2018.
## Identity
- **NPI:** 1699253435 (Entity type: Individual)
- **Enumerated:** August 3, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN208956 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 FAIR RD STE 600, Statesboro, GA 30458-0800
- **Phone:** (912) 681-4911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Savannah Multispecialty Associates, LLC (NPI 1528571320, Savannah, GA); Intensive Care Consortium Inc (NPI 1629019062, Aventura, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1699253435) · Data from the CMS NPPES public registry.