FATOUMATA DIARIOU KOUROUMA FNP
NPI 1477230159
Nurse Practitioner - Family in Bethlehem, GA

Q: What is Fatoumata Kourouma's NPI number?

The NPI number for Fatoumata Kourouma is 1477230159. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Fatoumata Kourouma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 03, 2023PECOS EnrolledAccepts Medicare Assignment

340 EXCHANGE BLVD STE 120, BETHLEHEM, GA 30620(678) 963-7300 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fatoumata Diariou Kourouma Fnp NPPES

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

FATOUMATA DIARIOU KOUROUMA FNP (NPI 1477230159) is an individual family provider in Bethlehem, Georgia, licensed in Georgia (RN297468) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grayson, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477230159

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameFATOUMATA DIARIOU KOUROUMACredential: FNP

Location Address340 EXCHANGE BLVD STE 120Bethlehem, GA 30620-1759

Mailing Address447 Dunaway CtGrayson, GA 30017-2201 · (203) 500-7823

Phone(678) 963-7300

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 3, 2023

Last NPPES UpdateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1477230159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN297468

Also ListedFamily MedicineTaxonomy 207Q00000X · License RN297468 (GA)

340 EXCHANGE BLVD STE 120, Bethlehem, GA 30620

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Secondary Practice Location 1

Location 1447 Dunaway CtGrayson, GA 30017-2201 · Phone (203) 500-7823

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

Fatoumata Diariou Kourouma Fnp 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 ID9436689411

PECOS Enrollment IDI20250205003092

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30620 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.

MRS. VIRGINIA LYNN GIFFORD NP

Nurse Practitioner (Family)