DR. RAVEN MICHELLE HOUSE-BOURNE DC
NPI 1487372074
Chiropractor in Mcdonough, GA
About Dr. Raven Michelle House-bourne Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAVEN MICHELLE HOUSE-BOURNE DC (NPI 1487372074) is an individual chiropractor in Mcdonough, Georgia, licensed in Georgia (CHIR010628) and active in the NPI registry since August 2022.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Raven Michelle House-bourne Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Raven House-bourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mcdonough, GA 30252
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
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 Raven House-bourne's NPI number?
The NPI number for Raven House-bourne is 1487372074. It was assigned to this individual provider in the NPPES registry on August 18, 2022.
Where is Raven House-bourne located?
Raven House-bourne practices at 3512 Highway 155 N Ste A2, Mcdonough, GA 30252. The listed phone number is (504) 333-9084.
What is Raven House-bourne's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Raven House-bourne enrolled in Medicare?
Yes. Raven House-bourne is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Raven House-bourne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raven House-bourne reassigns Medicare benefits to 100 Chiro Bourne LLC (Mcdonough, GA). The 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 Raven House-bourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Raven House-bourne was last updated on August 18, 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.
# Dr. Raven Michelle House-Bourne, DC · NPI 1487372074
Chiropractor provider in Mcdonough, Georgia. Individual provider, active in the CMS NPPES registry since August 18, 2022.
## Identity
- **NPI:** 1487372074 (Entity type: Individual)
- **Enumerated:** August 18, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIR010628 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3512 HIGHWAY 155 N STE A2, Mcdonough, GA 30252-5506
- **Phone:** (504) 333-9084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 100 Chiro Bourne LLC (NPI 1386362978, Mcdonough, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487372074) · Data from the CMS NPPES public registry.