Active NPI
Perry G Busbee, MD
- Obstetrics & Gynecology Physician
- Marietta, GA
National Provider Identifier
1063402113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 025119
- Practice address
- 833 Campbell Hill St NW Ste 420
Marietta, GA 30060-1138 - Phone
- (470) 956-3860
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 025119 | GA | Primary |
Addresses
Primary practice location
833 Campbell Hill St NW Ste 420
Marietta, GA 30060-1138
Mailing address
699 Church St NE
Suite 500
Marietta, GA 30060-1110
Phone (770) 793-9750
Other practice location 1
699 Church St NE
Suite 500
Marietta, GA 30060-1110
Phone (770) 793-9750
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbusbee4341@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025119 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Marietta, GA
- NPI 1245539378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1063402113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 CHURCH ST NE",
"address_2": "SUITE 500",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601110",
"telephone_number": "770-793-9750",
"fax_number": "770-919-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CAMPBELL HILL ST NW STE 420",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601138",
"telephone_number": "470-956-3860"
}
],
"practiceLocations": [
{
"address_1": "699 Church St NE",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601110",
"country_code": "US",
"telephone_number": "770-793-9750",
"fax_number": "770-919-0581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSBEE",
"first_name": "PERRY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "025119",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbusbee4341@directwellstar.org",
"affiliation": "N",
"address_1": "833 Campbell Hill St NW Ste 420",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601138",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.