Individual provider Active NPI

Michael Shane Busman, MD

  • Family Medicine Physician
  • Americus, GA
National Provider Identifier
1073584504
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040628 Issued in GA
Practice address
922 E Jefferson St
Suite B
Americus, GA 31709-4780
Phone
(229) 924-2383
Fax
(229) 924-0684
NPI assigned
Feb 1, 2006
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040628 GA Primary

Addresses

Primary practice location

922 E Jefferson St
Suite B
Americus, GA 31709-4780

Mailing address

PO Box 6815
Americus, GA 31709-6815
Phone (229) 924-2383

Other identifiers 2

IdentifierTypeStateIssuer
000720893DMedicaidGA
771452OtherGABLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20040617000839 GA Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Emergency Medicine 7012991854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Sports Medicine
Education
Medical University of South Carolina College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

922 E Jefferson St
Suite B
Americus, GA 31709-4781
Phone (229) 924-2383

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Infectious Disease CurrentSince Jul 1, 2009 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince May 1, 2010 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2009 Accepting new patients
Phoebe Sumter Medical Center, Inc. CurrentSince May 1, 2010 Accepting new patients
Americus & Sumter County Hospital Authority Past Accepting new patients
Urological Health Center, PC Past Accepting new patients
David K. Taing, M.D., D.C, P.C. Past Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

101 Mayo St
Ste A
Americus, GA 31709
Phone (229) 924-4647

1048 E Forsyth St
Americus, GA 31709
Phone (229) 924-6011

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

922 E Jefferson St
Ste B
Americus, GA 31709
Phone (229) 924-2383

910 N 5th St
Ste B
Cordele, GA 31015
Phone (229) 928-1909

Interoperability endpoints

  • Direct secure messaging: michael.busman.1@8478.direct.athenahealth.com
  • Direct secure messaging: michael.busman@phoebehealth.gadirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1073584504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6815",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317096815",
            "telephone_number": "229-924-2383",
            "fax_number": "229-924-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E JEFFERSON ST",
            "address_2": "SUITE B",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317094780",
            "telephone_number": "229-924-2383",
            "fax_number": "229-924-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSMAN",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720893D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "771452",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.