MR. SCOTT EMMANUEL BOUCAN
NPI 1508530429
Anesthesiologist Assistant in Marietta, GA
About Mr. Scott Emmanuel Boucan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SCOTT EMMANUEL BOUCAN (NPI 1508530429) is an individual anesthesiologist assistant in Marietta, Georgia and active in the NPI registry since August 2021. He is affiliated with Emory University Hospital, maintains a secondary practice location in Mableton, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Mr. Scott Emmanuel Boucan 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
5Medicare enrollment records show Scott Boucan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, GA 30067
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 713 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAPiedmont Hospital
Acute Care Hospitals · Atlanta, GAMedicare 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.
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.
MARIETTA, GA 30067
MARIETTA, GA 30067
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 Scott Boucan's NPI number?
The NPI number for Scott Boucan is 1508530429. It was assigned to this individual provider in the NPPES registry on August 4, 2021.
Where is Scott Boucan located?
Scott Boucan practices at 2540 Windy Hill Rd SE, Marietta, GA 30067. The listed phone number is (470) 644-1274.
What is Scott Boucan's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Scott Boucan enrolled in Medicare?
Yes. Scott Boucan 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 Scott Boucan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Boucan reassigns Medicare benefits to 5 organizations: Wellstar Medical Group, LLC (Marietta, GA), Mak Anesthesia Holdings LLC (Kennesaw, GA), The Emory Clinic Inc (Atlanta, GA), Piedmont Anesthesia LLC (Stockbridge, GA) and Emory Specialty Associates, LLC (Lagrange, 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 Scott Boucan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scott Boucan accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Scott Boucan 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 Scott Boucan affiliated with any hospitals?
According to CMS data, Scott Boucan is affiliated with Emory University Hospital and Piedmont Hospital.
When was this NPI record last updated?
The NPPES record for Scott Boucan was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Scott Emmanuel Boucan · NPI 1508530429
Anesthesiologist Assistant physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since August 4, 2021.
## Identity
- **NPI:** 1508530429 (Entity type: Individual)
- **Enumerated:** August 4, 2021
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2540 WINDY HILL RD SE, Marietta, GA 30067-8605
- **Phone:** (470) 644-1274
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1629361605, Marietta, GA); Mak Anesthesia Holdings LLC (NPI 1912452939, Kennesaw, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Piedmont Anesthesia LLC (NPI 1700474244, Stockbridge, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1508530429) · Data from the CMS NPPES public registry.