Fatoumata Diariou Kourouma, FNP - Medicare Nurse Practitioner in Bethlehem, GA

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Fatoumata Diariou Kourouma, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Bethlehem, Georgia. Her current practice location is 340 Exchange Blvd Ste 120, Bethlehem, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 963-7300.

Fatoumata Diariou Kourouma is licensed to practice in Georgia (license number RN297468) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477230159.

Contact Information

Fatoumata Diariou Kourouma, FNP
340 Exchange Blvd Ste 120,
Bethlehem, GA 30620-1759
(678) 963-7300
Not Available

Map and Direction




Physician's Profile

Full NameFatoumata Diariou Kourouma
GenderFemale
SpecialityNurse Practitioner - Family
Location340 Exchange Blvd Ste 120, Bethlehem, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477230159
  • Provider Enumeration Date: 07/03/2023
  • Last Update Date: 01/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436689411
  • Enrollment ID: I20250205003092

Medical Identifiers

Medical identifiers for Fatoumata Diariou Kourouma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477230159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RN297468 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN297468 (Georgia)Primary

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. Fatoumata Diariou Kourouma allows following entities to bill medicare on her behalf.
Entity NamePiedmont Medical Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912956046
PECOS PAC ID: 6002802220
Enrollment ID: O20040422001500
Entity NamePiedmont Athens Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245746783
PECOS PAC ID: 0648520841
Enrollment ID: O20180910002202

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. Fatoumata Diariou Kourouma 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 AddressPractice Location Address
Fatoumata Diariou Kourouma, FNP
447 Dunaway Ct,
Grayson, GA 30017-2201

Ph: (203) 500-7823		Fatoumata Diariou Kourouma, FNP
340 Exchange Blvd Ste 120,
Bethlehem, GA 30620-1759

Ph: (678) 963-7300

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.