MRS. GRACE ASHLEY BUSHONG PA
NPI 1851913651
Physician Assistant in Marietta, GA

Active since May 14, 2020PECOS EnrolledAccepts Medicare Assignment
115 CHERRY ST NE, MARIETTA, GA 30060(770) 793-5700 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2022, May 14, 2020 (2 updates tracked since 2020).

About Mrs. Grace Ashley Bushong Pa NPPES

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

MRS. GRACE ASHLEY BUSHONG PA (NPI 1851913651) is an individual physician assistant in Marietta, Georgia and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2020).

NPPES Registry Identity

NPI1851913651
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. GRACE ASHLEY BUSHONGCredential: PA
Location Address115 CHERRY ST NEMarietta, GA 30060-7205
Mailing Address3127 Rock Port CirNorcross, GA 30092-2742 · (678) 906-9334
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2020
Enumeration DateMay 14, 2020
Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
NPI 1851913651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
115 CHERRY ST NE, Marietta, GA 30060

Other Names 1

Former Name (1)Ms. Grace Ashley Henderson Pa

Accepted Insurance

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

Mrs. Grace Ashley Bushong 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.

PECOS PAC ID6406267798
PECOS Enrollment IDI20210719000922
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.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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 15

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

Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Emergency Medicine
115 CHERRY ST NE
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
115 CHERRY ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
115 CHERRY ST NE
MARIETTA, GA 30060
Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Pharmacy (Clinic Pharmacy)
115 CHERRY ST NE
MARIETTA, GA 30060
Emergency Medicine
115 CHERRY ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
115 CHERRY ST NE
MARIETTA, GA 30060

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 Grace Bushong's NPI number?

The NPI number for Grace Bushong is 1851913651. It was assigned to this individual provider in the NPPES registry on May 14, 2020. The provider is also known as Ms. Grace Ashley Henderson PA.

Where is Grace Bushong located?

Grace Bushong practices at 115 Cherry St NE, Marietta, GA 30060. The listed phone number is (770) 793-5700.

What is Grace Bushong's specialty?

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

Is Grace Bushong enrolled in Medicare?

Yes. Grace Bushong 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.

What insurance does Grace Bushong accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Grace Bushong 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 Grace Bushong affiliated with any hospitals?

According to CMS data, Grace Bushong is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Grace Bushong was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.