JEAN GUSTAVE SHOUMOU MD
NPI 1063619195
Hospitalist in Lithonia, GA
About Jean Gustave Shoumou Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEAN GUSTAVE SHOUMOU MD (NPI 1063619195) is an individual hospitalist provider in Lithonia, Georgia, licensed in Georgia (062772) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Emory Hillandale Hospital, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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
Jean Gustave Shoumou 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jean Gustave Shoumou reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 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 4
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.
Emory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jean Gustave Shoumou's NPI number?
The NPI number for Jean Gustave Shoumou is 1063619195. It was assigned to this individual provider in the NPPES registry on July 2, 2007.
Where is Jean Gustave Shoumou located?
Jean Gustave Shoumou practices at 2801 Dekalb Medical Parkway, Lithonia, GA 30058. The listed phone number is (404) 501-8492.
What is Jean Gustave Shoumou's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Jean Gustave Shoumou enrolled in Medicare?
Yes. Jean Gustave Shoumou 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 Jean Gustave Shoumou's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jean Gustave Shoumou reassigns Medicare benefits to 3 organizations: Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Emory Specialty Associates, LLC (Lagrange, GA) and 24 On Physicians, PC (Rome, GA). 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 Jean Gustave Shoumou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jean Gustave Shoumou accept?
Health plans from Ambetter Health and Oscar Health list Jean Gustave Shoumou 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 Jean Gustave Shoumou affiliated with any hospitals?
According to CMS data, Jean Gustave Shoumou is affiliated with Emory Hillandale Hospital.
When was this NPI record last updated?
The NPPES record for Jean Gustave Shoumou was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jean Gustave Shoumou, MD · NPI 1063619195
Hospitalist physician in Lithonia, Georgia. Individual provider, active in the CMS NPPES registry since July 2, 2007.
## Identity
- **NPI:** 1063619195 (Entity type: Individual)
- **Enumerated:** July 2, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 062772 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2801 DEKALB MEDICAL PARKWAY, Lithonia, GA 30058
- **Phone:** (404) 501-8492
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA); 24 On Physicians, PC (NPI 1912956251, Rome, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** January 30, 2019
- **Other identifiers:** Medicaid 003104725C (GA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1063619195) · Data from the CMS NPPES public registry.