Active NPI
Colleen Megan Bush, MD
- Psychiatry Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2018-02540
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 288-9275
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018-02540 | NC | |
| Psychiatry Physician | 2084P0800X | 87092 | GA | |
| Psychiatry Physician | 2084P0800X | 0101264545 | VA | |
| Psychiatry Physician | 2084P0800X | 28183 | WV | |
| Psychiatry Physician | 2084P0800X | 2018-02540 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
501 Billingsley Rd
Charlotte, NC 28211-1009
Other practice location 1
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000
Other practice location 2
501 Billingsley Rd
Charlotte, NC 28211-1009
Phone (704) 288-9275
Other names 1
- Colleen Megan Pettrey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WV, DC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- West Virginia University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Billingsley Rd
Charlotte, NC 28211-1009
Phone 7044445881704444
923 N 2ND St
Suite 204
Albemarle, NC 28001-3370
Phone (800) 230-1721
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-02540 | NC | MD | Internal Medicine Physician |
| 0101264545 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Psychiatry | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Inova Health Care Services | Internal Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Locations
923 N 2nd St
Ste 204
Albemarle, NC 28001
Phone (704) 986-6662
330 Billingsley Rd
Ste 102
Charlotte, NC 28211
Phone (704) 444-2574
501 Billingsley Rd
Charlotte, NC 28211
Phone (704) 358-2700
13640 Steelecroft Pkwy
Ste 320
Charlotte, NC 28278
Phone (704) 302-8900
1426 E Morehead St
Charlotte, NC 28204
Phone (704) 446-6090
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
501 Billingsley Rd
#B
Charlotte, NC 28211
Phone (704) 444-2400
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700
2501 Parkers Ln
Ste 3A
Alexandria, VA 22306
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
Interoperability endpoints
- cpettrey433892@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
Internal Medicine, NC
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
NC
-
dba Atrium Health Community Care Primary Care West Blvd Family Medicine
- Internal Medicine Physician
- Charlotte, NC
- NPI 1073754131
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
dba Carolina Hospitalist Group - Carolina Rehab Charlotte
- Hospitalist Physician
- Charlotte, NC
- NPI 1306855846
Internal Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
-
dba Atrium Health Cabarrus
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
dba Atrium Health Cabarrus Inpatient Psych Unit
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742083200000",
"number": "1023455425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BILLINGSLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-288-9275"
}
],
"practiceLocations": [
{
"address_1": "777 Hemlock St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312012102",
"country_code": "US",
"telephone_number": "478-633-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Billingsley Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111009",
"country_code": "US",
"telephone_number": "704-288-9275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSH",
"first_name": "COLLEEN",
"middle_name": "MEGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2025-03-16",
"certification_date": "2025-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2018-02540",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "87092",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101264545",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "28183",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2018-02540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "PETTREY",
"middle_name": "MEGAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.