MAC BOHANAN MD
NPI 1861017139
Psychiatry & Neurology - Neurology in Tallahassee, FL

Q: What is Mac Bohanan's NPI number?

The NPI number for Mac Bohanan is 1861017139. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Q: What is Mac Bohanan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Mac Bohanan was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 12, 2020PECOS EnrolledAccepts Medicare Assignment

1401 CENTERVILLE RD STE 600, TALLAHASSEE, FL 32308(850) 878-8121(850) 942-6515 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2025, Jun 12, 2020 (2 updates tracked since 2020).

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About Mac Bohanan Md NPPES

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

MAC BOHANAN MD (NPI 1861017139) is an individual neurology provider in Tallahassee, Florida, licensed in Georgia (11988) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861017139

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMAC BOHANANCredential: MD

Location Address1401 CENTERVILLE RD STE 600Tallahassee, FL 32308-4661

Mailing Address1401 Centerville Rd Ste 300Tallahassee, FL 32308-4675 · (850) 878-8121 · Fax (509) 426-5158

Phone(850) 878-8121

Fax(850) 942-6515

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 12, 2020

Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1861017139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in GA · 11988

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1401 CENTERVILLE RD STE 600, Tallahassee, FL 32308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Capital Health Plan and more.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

Mac Bohanan Md 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 ID2567887714

PECOS Enrollment IDI20251023001700

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.

Medicare Billing Reassignment

Medicare enrollment records show Mac Bohanan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tallahassee Neurological Clinic

0.2 mi

Neurological Surgery

1401 CENTERVILLE RD, SUITE 300
Tallahassee, FL 32308

Reassigned Medicare billing, Florida enrollment
53 clinicians in this Medicare group

NPI 1982660569 (850) 877-5115

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

Hospital Affiliations CMS Care Compare

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100135

Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 12

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

WINSTON R ORTIZ MD

Psychiatry & Neurology (Neurology)