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

Kristin Bourg, PA

Individual provider Physician Assistant · NPI 1619475530

Kristin Bourg, PA is a Physician Assistant in Atlanta, Georgia. Graduated from University of Alabama School of Medicine in 2017, 9 years ago. Practices with Truffles Vein Center LLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Trained at
University of Alabama School of Medicine
Licensed in
GA
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1968 Peachtree Rd NW
Atlanta, GA 30309
Phone: (404) 605-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 264 19th St Nw Ste 2240, Atlanta, GA 30363-1139 — (404) 532-1564

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence RN008722 (GA)

Record details

NPI number1619475530
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 25, 2018
Last updated in NPPESNovember 13, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Truffles Vein Center Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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