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Scott Emmanuel Boucan

Anesthesiologist Assistant β€’ Marietta, GA

Active NPI 1508530429 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2540 Windy Hill Rd Se
Marietta, GA 300678605

Call 4706441274 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2540 Windy Hill Rd Se

Marietta, GA 300678605

Telephone 4706441274
Organization at the Same NPPES Address or Phone
Kennestone Hospital, Inc. Facility NPI 1700853041

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mableton, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Piedmont Anesthesia Llc; The Emory Clinic Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Scott Boucan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Marietta and Georgia

98 active clinicians are listed under Anesthesiologist Assistant with a practice address in Marietta, GA (1,541 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Marietta

0% of these 98 clinicians have the CMS telehealth indicator.

76.5% of these 98 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-21
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY ASSISTANT

Medicare Enrollment ID

I20230104002010

Enrollment State Jurisdiction

GA

PECOS Control ID

4486020294

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Emory Clinic Inc

1365 Clifton Rd Ne, Atlanta, GA 303221013

Phone: 4047787525

Piedmont Anesthesia Llc

1133 Eagles Landing Pkwy, Stockbridge, GA 302815085

Phone: 8002421131

Piedmont Anesthesia Llc

1968 Peachtree Rd Nw, Atlanta, GA 303091281

Phone: 4043511745

Secondary Practice Locations

988 Oriole Way Sw

Mableton, GA 301264136

Phone: 4046979142

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
Dr. Ami Amin , MD

Anesthesiology

NPI 1821276833

Doctor of Medicine (M.D.)

NPI 1922058403

Doctor of Medicine (M.D.)

Kimberly Castoe , CRNA

Nurse Anesthetist, Certified Registered

NPI 1679676985

Certified Registered Nurse Anesthetist

Michael Crisp , PAA

Anesthesiologist Assistant

NPI 1457932899
Cayla Eller , PA

Anesthesiologist Assistant

NPI 1841752185

Physician Assistant

Dr. Ann Harman , MD

Anesthesiology

NPI 1194728980

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 21, 2025

Registered at 2540 WINDY HILL RD SE, MARIETTA, GA 300678605 (Tel: 4706441274)

πŸ“
Updated Practice Location August 23, 2022

Registered at 988 ORIOLE WAY SW, MABLETON, GA 301264136 (Tel: 4046979142)

πŸ“
Updated Business Mailing Address August 23, 2022

Registered at 988 ORIOLE WAY SW, MABLETON, GA 301264136 (Tel: 4046979142)

βœ…
NPI Profile Active August 04, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2021

Registered at 6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 322168088 (Tel: 9042458910)

πŸ“
Business Mailing Address (Initial Record) August 04, 2021

Registered at 6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 322168088 (Tel: 9042458910)

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2021

Recorded as SCOTT BOUCAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 04, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508530429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2021
Last Update: March 21, 2025
Sole Proprietor: No

Other Anesthesiologist Assistants in Marietta

All Anesthesiologist Assistants in Marietta

Mailing Address

988 Oriole Way Sw

Mableton, GA 301264136

Phone: 4046979142

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.