VALERIE L BUSH (NPI# 1730168030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730168030 |
| Entity Type | Individual |
| Full Name | VALERIE L BUSH |
| Credential | PAC |
| Practice Address |
100 Mimosa Dr 2nd Floor Thomasville GA 31792-6676 |
| Mailing Address |
100 Mimosa Dr Fl 2 Thomasville GA 31792-6676 |
| Practice Telephone | 2295510083 |
| Practice Fax Number | 2292279642 |
| Mailing Telephone | 2295510083 |
| Mailing Fax Number | 2292279642 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3598 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100000112B | 05 | |
| GA | RAILROAD MEDICARE | 970017094 | 01 |
| GA | PEACH STATE | 100000112A | 01 |
| GA | 100000112A | 05 | |
| GA | WELLCARE | 368501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447444237 | Valerie J Bush | Occupational Therapist | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-09-05 |
| Street Address |
100 MIMOSA DR 2ND FLOOR |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225384886 | Rachel Smith Gay | Nurse Practitioner | 100 Mimosa Dr 2nd Floor, Thomasville, GA 31792-6677 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679062442 | Jonathan Heidkamp | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792-4875 | 2018-05-07 |
| 1184120818 | Catherine W Howell | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2018-04-02 |
| 1205334737 | Katherine Love Edelen | Physician Assistant | 100 S Madison St, Thomasville, GA 31792-5473 | 2018-01-30 |
| 1356877328 | Edie Willis | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2017-05-11 |
| 1922453158 | Waqas Tariq | Physician Assistant | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-04-25 |
| 1063892974 | Deuel Mcelreath Iv | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2015-06-05 |
| 1689827255 | Mary E Woolfolk | Physician Assistant | 1102 Smith Ave, Thomasville, GA 31792-5739 | 2008-10-28 |
| 1669509196 | Robert Lee Bradford | Physician Assistant | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2007-02-28 |
| 1073698031 | Ronald Lindquist | Physician Assistant | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-10-26 |
| 1215956719 | Nancy M Joyce | Physician Assistant | 1302 Lexington Ave, Thomasville, NC 27360-3419 | 2006-07-18 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on VALERIE L BUSH.
| 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.