Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FATOUMA BOUH
NPI 1538892849
Physician Assistant in Atlanta, GA

Q: What is Fatouma Bouh's NPI number?

The NPI number for Fatouma Bouh is 1538892849. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Q: What is Fatouma Bouh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Fatouma Bouh was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since July 05, 2022PECOS Enrolled

550 PEACHTREE ST NE, ATLANTA, GA 30308(904) 372-3943 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 19, 2025, Jul 5, 2022 (2 updates tracked since 2022).

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About Fatouma Bouh NPPES

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

FATOUMA BOUH (NPI 1538892849) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (12640) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1538892849

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameFATOUMA BOUH

Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2212

Mailing Address7751 Belfort Pkwy Ste 120Jacksonville, FL 32256-6921 · (904) 372-3943

Phone(904) 372-3943

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 5, 2022

Last NPPES UpdateOctober 22, 20262 updates tracked since enumeration

NPPES CertifiedOctober 22, 2026

✔ NPI 1538892849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 12640

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

550 PEACHTREE ST NE, Atlanta, GA 30308

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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

Fatouma Bouh 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 ID1850810797

PECOS Enrollment IDI20250523001148

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 30308 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOMINIC JOSEPH PAPANDRIA M.D.

Surgery