ANDREW BOURG CRNA
NPI 1508615923
Nurse Anesthetist, Certified Registered in Carrollton, GA
About Andrew Bourg Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW BOURG CRNA (NPI 1508615923) is an individual nurse anesthetist, certified registered in Carrollton, Georgia, licensed in Georgia (RN280996) and active in the NPI registry since May 2024. He is affiliated with Tanner Medical Center - Carrollton, maintains a secondary practice location in Atlanta, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Andrew Bourg Crna 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
9Medicare enrollment records show Andrew Bourg reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 121 clinicians in this Medicare group
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 35 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Brookhaven, GA 30329
- Reassigned Medicare billing, Georgia enrollment
- 159 clinicians in this Medicare group
Brookhaven, GA 30329
- Reassigned Medicare billing, Georgia enrollment
- 251 clinicians in this Medicare group
Canton, GA 30114
- Reassigned Medicare billing, Georgia enrollment
- 60 clinicians in this Medicare group
Canton, GA 30114
- Reassigned Medicare billing, Georgia enrollment
- 66 clinicians in this Medicare group
Canton, GA 30114
- Reassigned Medicare billing, Georgia enrollment
- 70 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Georgia enrollment
- 386 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tanner Medical Center - Carrollton
Acute Care Hospitals · Carrollton, GATanner Medical Center Villa Rica
Acute Care Hospitals · Villa Rica, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CARROLLTON, GA 30117
CARROLLTON, GA 30117
CARROLLTON, GA 30117
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 Andrew Bourg's NPI number?
The NPI number for Andrew Bourg is 1508615923. It was assigned to this individual provider in the NPPES registry on May 16, 2024.
Where is Andrew Bourg located?
Andrew Bourg practices at 705 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 812-9666.
What is Andrew Bourg's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Andrew Bourg enrolled in Medicare?
Yes. Andrew Bourg 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 Andrew Bourg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Bourg reassigns Medicare benefits to 9 organizations: Tmc-West Georgia Anesthesia Associates Inc. (Carrollton, GA), Everest Anesthesia LLC (Fayetteville, GA), Emory Specialty Associates, LLC (Lagrange, GA), Children's Anesthesia Services, LLC (Brookhaven, GA), Choa Hospital Based, LLC (Brookhaven, GA) and 4 more organizations, listed in the Medicare section above. 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 Andrew Bourg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Bourg accept?
Health plans from Oscar Health list Andrew Bourg 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 Andrew Bourg affiliated with any hospitals?
According to CMS data, Andrew Bourg is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Andrew Bourg was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Andrew Bourg, CRNA · NPI 1508615923
Nurse Anesthetist, Certified Registered physician in Carrollton, Georgia. Individual provider, active in the CMS NPPES registry since May 16, 2024.
## Identity
- **NPI:** 1508615923 (Entity type: Individual)
- **Enumerated:** May 16, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN280996 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 705 DIXIE ST, Carrollton, GA 30117-3818
- **Phone:** (770) 812-9666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Tmc-West Georgia Anesthesia Associates Inc. (NPI 1740252022, Carrollton, GA); Everest Anesthesia LLC (NPI 1568158418, Fayetteville, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA); Children's Anesthesia Services, LLC (NPI 1437203098, Brookhaven, GA); Choa Hospital Based, LLC (NPI 1457695488, Brookhaven, GA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508615923) · Data from the CMS NPPES public registry.