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

Mrs. Grace Ashley Bushong, PA

Individual provider Physician Assistant · NPI 1851913651

Mrs. Grace Ashley Bushong, PA is a Physician Assistant in Marietta, Georgia. Graduated from Southern Illinois University School of Medicine in 2020, 6 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Southern Illinois University School of Medicine
In the registry since
2020
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

115 Cherry St NE
Marietta, GA 30060-7205
Phone: (770) 793-5700
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1851913651
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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