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SAMIRA ISSA-BOUBE
NPI 1679239800
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since November 11, 2021PECOS Enrolled
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 752-1500 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samira Issa-boube NPPES

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

SAMIRA ISSA-BOUBE (NPI 1679239800) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679239800
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMIRA ISSA-BOUBE
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address720 Westview Dr SwAtlanta, GA 30310-1458
Phone(404) 752-1500
Sole ProprietorNo
Enumeration DateNovember 11, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1679239800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
720 WESTVIEW DR SW, Atlanta, GA 30310
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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 (PECOS)

Samira Issa-boube is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

BRYAN OSAYAMHEN OKOSUN
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
UGOCHI GLADYS ANANABA
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. THEODORA CHIDERA ABAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. ALEX WALEED MOHAMMAD ALQUDAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1341
YOG VAGHANI
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
BRADFORD ZACHARY GRANT
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
NIRVANA ALLISON DURBAL
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
IVANNA ALEXIS WARD DO
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1383

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 Samira Issa-boube's NPI number?

The NPI number for Samira Issa-boube is 1679239800. It was assigned to this individual provider in the NPPES registry on November 11, 2021.

Where is Samira Issa-boube located?

Samira Issa-boube practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 752-1500.

What is Samira Issa-boube's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samira Issa-boube enrolled in Medicare?

Yes. Samira Issa-boube is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samira Issa-boube was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.