DR. AYMEN YOUSUF BUKANNAN MD
NPI 1700179983
Internal Medicine - Gastroenterology in Thomasville, GA

Q: What is Aymen Bukannan's NPI number?

The NPI number for Aymen Bukannan is 1700179983. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Q: What is Aymen Bukannan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Aymen Bukannan was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 23, 2011PECOS EnrolledAccepts Medicare Assignment

112 MIMOSA DR, THOMASVILLE, GA 31792(229) 227-0045 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2025, Aug 3, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Aymen Yousuf Bukannan Md NPPES

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

DR. AYMEN YOUSUF BUKANNAN MD (NPI 1700179983) is an individual gastroenterology provider in Thomasville, Georgia, licensed in Georgia (077096) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700179983

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. AYMEN YOUSUF BUKANNANCredential: MD

Location Address112 MIMOSA DRThomasville, GA 31792-6605

Mailing Address900 Cairo RdThomasville, GA 31792-4255

Phone(229) 227-0045

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 23, 2011

Last NPPES UpdateNovember 17, 20254 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1700179983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in GA · 077096✔ Licensed in IL · 036177436

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301098214 (MI)

112 MIMOSA DR, Thomasville, GA 31792

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12799 W. Grand Blvd, K7 Room E-744, Henry Ford Hospital GI DepartmentDetroit, MI 48202 · Phone (313) 916-2405 · Fax (313) 916-6413

Location 24500 Memorial Dr Ste 300Belleville, IL 62226-5360 · Phone (618) 257-6220 · Fax (618) 257-6679

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Dr. Aymen Yousuf Bukannan Md 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 ID3779700091

PECOS Enrollment IDI20170918002329, I20251119002814

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.

Medicare Billing Reassignments

Medicare enrollment records show Aymen Bukannan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Archbold Medical Group, Inc.

2.1 mi

General Practice

2621 E PINETREE BLVD
Thomasville, GA 31792

Reassigned Medicare billing, Georgia enrollment
96 clinicians in this Medicare group

NPI 1508132887 (229) 226-5788

Columbus Ambulatory Healthcare Services, Inc.

128 mi

Family Medicine

1800 10TH AVE
Columbus, GA 31901

Reassigned Medicare billing, Georgia enrollment
391 clinicians in this Medicare group

NPI 1790733244 (706) 571-1120

Piedmont Specialty Hospital Billing LLC

251 mi

Internal Medicine

1266 HIGHWAY 515 S
Jasper, GA 30143

Reassigned Medicare billing, Georgia enrollment
317 clinicians in this Medicare group

NPI 1699290510 (770) 801-2500

Fairview Heights Medical Group, Sc

653 mi

Internal Medicine

670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Illinois enrollment
507 clinicians in this Medicare group

NPI 1811392210 (314) 996-7644

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

68 services63 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

42 services42 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

34 services34 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

19 services19 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

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 10

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

KRISTIN F DEUTSCH N.P.

Nurse Practitioner (Family)