MR. SCOTT EMMANUEL BOUCAN
NPI 1508530429
Anesthesiologist Assistant in Marietta, GA

Active since August 04, 2021Accepts Medicare Assignment
92.26/100
CMS Quality Rating
2540 WINDY HILL RD SE, MARIETTA, GA 30067(470) 644-1274 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Aug 23, 2022, Aug 4, 2021 (3 updates tracked since 2021).

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

NPI1508530429
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. SCOTT EMMANUEL BOUCAN
Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605
Mailing Address988 Oriole Way SwMableton, GA 30126-4136 · (404) 697-9142
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 4, 2021
Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1508530429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
2540 WINDY HILL RD SE, Marietta, GA 30067

Secondary Practice Location 1

Location 1988 Oriole Way SWMableton, GA 30126-4136 · Phone (404) 697-9142

Accepted Insurance

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

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.

PECOS PAC ID4486020294
PECOS Enrollment IDI20230104002010

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, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Anesthesiology
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Nurse Practitioner (Psychiatric/Mental Health)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
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.

What insurance does Scott Boucan accept?

Health plans from Alliant Health Plans, Inc. 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 16 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.