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

Fatouma Bouh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538892849

Fatouma Bouh is a Physician Assistant in Longmeadow, Massachusetts. Qualified in 2024, 2 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia and Massachusetts.

Years since qualifying
2
Licensed in
GA, MA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

588 Longmeadow St
Longmeadow, MA 01106-2212
Phone: (413) 565-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12640 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MA)

Record details

NPI number1538892849
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2022
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address588 Longmeadow St, Longmeadow, MA 01106-2212

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Longmeadow