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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BENNETT BOUSHKA
NPI 1003734922
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since July 08, 2026
100 WOODRUFF CIR NE, ATLANTA, GA 30322(404) 727-5660 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bennett Boushka NPPES

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

BENNETT BOUSHKA (NPI 1003734922) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1003734922
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENNETT BOUSHKA
Location Address100 WOODRUFF CIR NEAtlanta, GA 30322-1059
Mailing Address100 Woodruff Cir NeAtlanta, GA 30322-1059
Phone(404) 727-5660
Sole ProprietorNo
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1003734922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 WOODRUFF CIR NE, Atlanta, GA 30322
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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.

QSANET TEKIE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
JOSHUA HYUNKEE KIM
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
PATRICIA ELIZABETH CHAN
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5910
KAMSIYONNA ADICHIE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
SOPHIE BLASBERG
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
DESTINY EKWUEME
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
ANDEE KOO
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5640
RYON LAMONT ARRINGTON MD, MBA
Surgery
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-4018

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 Bennett Boushka's NPI number?

The NPI number for Bennett Boushka is 1003734922. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Where is Bennett Boushka located?

Bennett Boushka practices at 100 Woodruff Cir NE, Atlanta, GA 30322. The listed phone number is (404) 727-5660.

What is Bennett Boushka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bennett Boushka was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.