Micky L Busby, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD11256 Issued in TN

Practice address

317 W Gaines St
Lawrenceburg, TN 38464-3604

Phone

(931) 762-9665

Fax

(931) 766-0767

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: busby_micky_-_md@yourcarecommunity.org

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.

• Express Med of Tennessee, LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1679534879

  TN

  Medicare reassignment
• Joseph a Lukaska, MD Family Medicine, PLLC

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1669623880
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1053392811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W GAINES ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643604",
            "telephone_number": "931-762-9665",
            "fax_number": "931-766-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W GAINES ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643604",
            "telephone_number": "931-762-9665",
            "fax_number": "931-766-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "MICKY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD11256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3180810",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssia Burgess, PMHNP-BC
• Katie Lynn Burgess, R.D., L.D.N.
• Patsy J Burks, APN
• Jessica Mills Burress, APRN
• Kaylee Busby
• Mattea Katarena Butler
• Rickee Butterworth
• C & M Pharmacy Inc.
• Courtney Campbell
• Olivia Campbell

• All providers in Lawrenceburg, TN
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.