Dr Ebon Anthony Bourne, MD in Atlanta, GA - Medicare Internal Medicine

Dr Ebon Anthony Bourne, MD is a medicare enrolled "Internal Medicine" physician in Atlanta, Georgia. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Premier Concierge Care Of Atlanta Llc and his current practice location is 3225 Cumberland Blvd Se Ste 550, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 419-9970.

Dr Ebon Anthony Bourne is licensed to practice in Georgia (license number 068373) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225178825.

Contact Information

	Dr Ebon Anthony Bourne, MD
	3225 Cumberland Blvd Se Ste 550, Atlanta, GA 30339-6069
	(404) 419-9970
	(404) 252-8930

Map and Direction

Physician's Profile

Full Name	Dr Ebon Anthony Bourne
Gender	Male
Speciality	Internal Medicine
Experience	26 Years
Location	3225 Cumberland Blvd Se Ste 550, Atlanta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ebon Anthony Bourne graduated from medical school in 1999

NPI Data:

NPI Number: 1225178825
Provider Enumeration Date: 02/06/2007
Last Update Date: 06/25/2025

Medicare PECOS Information:

PECOS PAC ID: 1254368947
Enrollment ID: I20121116000080

Medical Identifiers

Medical identifiers for Dr Ebon Anthony Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225178825	NPI	-	NPPES
68373	Other	GA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	68373 (Georgia)	Secondary
207R00000X	Internal Medicine	068373 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital
Wellstar Cobb Hospital	Austell, GA	Hospital
Northside Hospital	Atlanta, GA	Hospital
Saint Joseph's Hospital Of Atlanta, Inc	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Concierge Care Of Atlanta Llc	3476088618	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ebon Anthony Bourne allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Premier Concierge Care Of Atlanta Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891527313 PECOS PAC ID: 3476088618 Enrollment ID: O20241125000964

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ebon Anthony Bourne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ebon Anthony Bourne, MD 3225 Cumberland Blvd Se Ste 550, Atlanta, GA 30339-6069 Ph: (404) 419-9970	Dr Ebon Anthony Bourne, MD 3225 Cumberland Blvd Se Ste 550, Atlanta, GA 30339-6069 Ph: (404) 419-9970

Reviews and Comments

Internal Medicine Doctors in Atlanta, GA

Khadeja Jamilia Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290
Dr. Matthew J. Wilson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553
Dr. Shannon Walker Ike, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000
Kajal Patel, M.D, M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700
Dr. Earl Stewart Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950
Ms. Charvette Gaitone Shumaker-kirk, AGACNP-; AGPCNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Linden Ave Ne, Atlanta, GA 30308 Phone: 404-778-1900
Mary E. Bergh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464

Dr Ebon Anthony Bourne, MD - Medicare Internal Medicine in Atlanta, GA