Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Aymen Yousuf Bukannan, MD

Individual provider Gastroenterology Physician · NPI 1700179983

Dr. Aymen Yousuf Bukannan, MD is a Gastroenterology in Thomasville, Georgia. Qualified in 2009, 17 years ago. Practices with Piedmont Specialty Hospital Billing LLC, a 249-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia, Illinois and Michigan.

Years since qualifying
17
Licensed in
GA, IL, MI
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

112 Mimosa Dr
Thomasville, GA 31792-6605
Phone: (229) 227-0045
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4500 Memorial Dr Ste 300, Belleville, IL 62226-5360 — (618) 257-6220
  • 2799 W. Grand Blvd, K7 Room E-744, Detroit, MI 48202 — (313) 916-2405

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 077096 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301098214 (MI)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 036177436 (IL)

Record details

NPI number1700179983
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2011
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Piedmont Specialty Hospital Billing Llc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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