Individual provider Active NPI

Colleen Megan Bush, MD

  • Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1023455425
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2018-02540 Issued in NC
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

Updated by the provider on Mar 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, DC, NC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180815003052 VA Practitioner - Internal Medicine 6103050307 Reassigns benefits to 2 organizations
I20180815003285 WV Practitioner - Internal Medicine 6103050307 Reassigns benefits to 2 organizations
I20181120000941 DC Practitioner - Internal MedicinePractitioner - NeurologyPractitioner - Psychiatry 6103050307 Reassigns benefits to 1 organization
I20190227000020 NC Practitioner - Psychiatry 6103050307 Reassigns benefits to 5 organizations

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
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

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

LicenseStateTypeSpecialty
2018-02540NCMDInternal Medicine Physician
0101264545VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Oct 1, 2018 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Psychiatry CurrentSince Jan 1, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 3, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Inova Health Care Services CurrentSince Oct 1, 2018 Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Apr 3, 2020 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 2, 2020 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Carolinas Medical Center CurrentSince Apr 30, 2020 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 2, 2020 Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Oct 17, 2021 Accepting new patients
Carolinas Medical Center Internal Medicine CurrentSince Apr 30, 2020 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 1, 2021 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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.