KRISTIN BOURG PA
NPI 1619475530
Physician Assistant in Atlanta, GA
About Kristin Bourg Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN BOURG PA (NPI 1619475530) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (RN008722) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of University Of Alabama School Of Medicine (2017).
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
Kristin Bourg Pa 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 Reassignment
Medicare enrollment records show Kristin Bourg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, GA 31909
- Physician assistant employed and billed by this organization, Georgia enrollment
- 13 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
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 Kristin Bourg's NPI number?
The NPI number for Kristin Bourg is 1619475530. It was assigned to this individual provider in the NPPES registry on January 25, 2018.
Where is Kristin Bourg located?
Kristin Bourg practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 605-2800.
What is Kristin Bourg's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kristin Bourg enrolled in Medicare?
Yes. Kristin 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 organization bills Medicare for Kristin Bourg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Bourg is a physician assistant employed by Renew Wound Care Of Georgia LLC (Columbus, GA), which bills Medicare and receives payment for Kristin Bourg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristin Bourg accept?
Health plans from Alliant Health Plans, Inc. list Kristin 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.
When was this NPI record last updated?
The NPPES record for Kristin Bourg was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kristin Bourg, PA · NPI 1619475530
Physician Assistant physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since January 25, 2018.
## Identity
- **NPI:** 1619475530 (Entity type: Individual)
- **Enumerated:** January 25, 2018
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** RN008722 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1968 PEACHTREE RD NW, Atlanta, GA 30309
- **Phone:** (404) 605-2800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Employed and billed by:** Renew Wound Care Of Georgia LLC (NPI 1245907971, Columbus, GA), under physician assistant employment · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** November 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1619475530) · Data from the CMS NPPES public registry.