P Praxis·MD
● Active Type 1 · Individual

Kristin Bourg, PA

Physician Assistant·Atlanta, GA· NPI 1619475530 · Enumerated 2018 · 8 years on NPI
Bourg is 1 of 1157 physician assistant providers in Atlanta and 1 of 4616 in Georgia.
NPI age
8 years
Enumerated 2018-01-25
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-11-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
8 years
≈ at median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-01Enumerated in NPPES
2018 2026

Where they practice

Practice location
1968 Peachtree Rd Nw
Atlanta, GA 30309
📞 4046052800
Mailing address
2001 Butterfield Rd Ste 300
Downers Grove, IL 605151069
📞 6307252730fax 8442055691

Additional practice locations

1 secondary location on file with NPPES.

Location 2
264 19th St Nw Ste 2240
Atlanta, GA 303631139
📞 4045321564fax 4045321565

Specialties

  • Physician Assistant Primary
    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...
    GA license #RN008722 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 537 other active providers share this practice address in NPPES.

Recently enumerated nearby: 46 new physician assistant providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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