SCHVON BUSSEY (NPI# 1093139693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093139693 |
Entity Type | Individual |
Full Name | SCHVON BUSSEY |
Credential | FNP |
Practice Address |
104 Pine Arbor Dr Leesburg GA 31763-3184 |
Practice Telephone | 7065939263 |
Mailing Telephone | 7065939263 |
Enumeration Date | 2014-02-18 |
Last Update Date | 2019-03-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | NCO-000001 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN160658 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
104 PINE ARBOR DR |
City | LEESBURG |
State | GA |
Zip Code | 31763-3184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033408018 | Alpha 1 Home Health Services LLC | Nursing Care | 104 Pine Arbor Dr, Leesburg, GA 31763-3184 | 2011-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790150423 | Jamie Perrella Flynn-pressley | Counselor | 112 Cris Ann St., Leesburg, GA 31763 | 2015-12-07 |
1023429511 | Brookstone Medical LLC | Durable Medical Equipment & Medical Supplies | 123 Hugh Rd, Leesburg, GA 31763 | 2014-05-19 |
1124370796 | Freds Stores of Tennessee Inc | Pharmacy | 118 Robert B Lee Drive, Leesburg, GA 31763 | 2012-10-08 |
1255649273 | Lee County Optical LLC | Optometrist | 1569 Highway 19 South, Leesburg, GA 31763 | 2010-09-24 |
1851572473 | Shaun Nicholas Price | Chiropractor | 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 | 2007-11-26 |
1710042007 | Williams & Bush Partnership | Dentist | 919 Us Hwy 19 South, Leesburg, GA 31763 | 2006-12-27 |
1063570398 | Lee County Board of Education | Local Education Agency (LEA) | 126 Starksville Avenue, North, Leesburg, GA 31763 | 2006-12-06 |
1225109929 | Lee County School System | Local Education Agency (LEA) | 126 Starksville Avenue North, Leesburg, GA 31763 | 2006-11-13 |
1073682936 | Adams' Loving Pro Home Health Care Inc. | Home Health | 1277 Hwy 82 West, 121, Leesburg, GA 31763 | 2006-11-07 |
1225132699 | Deirdre Mae Clairewen Lawson | Internal Medicine | 235 Walnut Street, Leesburg, GA 31763 | 2006-09-07 |
Find all providers in zip 31763 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144464470 | April Christina Haukoos | Nurse Practitioner | 1017 W Dixie Ave, Leesburg, FL 34748-6309 | 2009-04-30 |
1821258484 | Susan Maureen Archacki-resnik | Nurse Practitioner | Lifestream Behavioral Center, 2020 Tally Rd, Leesburg, FL 34749-1000 | 2008-06-16 |
1821163940 | Linda D Stalters | Nurse Practitioner | 43490 Millwright Ter, Leesburg, VA 20176-8466 | 2006-11-22 |
1275622375 | Paula K Reilley | Nurse Practitioner | 104 E Dixie Ave, Leesburg, FL 34748-6350 | 2006-10-12 |
1952879439 | Mika Lyne Riley | Nurse Practitioner | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2018-11-02 |
1689191017 | Yoneka Tahisha Powell | Nurse Practitioner | 104 E Dixie Ave, Leesburg, FL 34748-6350 | 2017-08-25 |
1770987570 | Maria Jeffries | Nurse Practitioner | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2014-10-22 |
1679892616 | Kristie Johnson | Nurse Practitioner | 215 N 3rd St, Leesburg, FL 34748-5105 | 2010-05-28 |
1346261104 | Kathleen Jones-shupe | Nurse Practitioner | 101 S 11th St, Suite1, Leesburg, FL 34748-5767 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.