Active NPI
Sumter Family Medicine & Sports Medicine Center, P.C.
- Sports Medicine (Family Medicine) Physician
- Americus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 040628
- Legal business name
- SUMTER FAMILY MEDICINE & SPORTS MEDICINE CENTER, P.C.
- Practice address
- 922 E Jefferson St
Suite B
Americus, GA 31709-4780 - Phone
- (229) 924-2383
- Fax
- (229) 924-0684
- NPI assigned
- Jul 1, 2008
- Last updated
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Shane Busman, M.D.
- Title
- M.D.
- Phone
- (229) 924-2383
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000720893D | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1102 E Lamar St
Ste E
Americus, GA 31709
Phone (229) 924-2383
922 E Jefferson St
Ste B
Americus, GA 31709
Phone (229) 924-2383
208 E Lamar St
Ste B
Americus, GA 31709
Phone (229) 924-2383
922 E Jefferson St
Americus, GA 31709
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Americus, GA
- NPI 1073584504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1073775904",
"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": {
"organization_name": "SUMTER FAMILY MEDICINE & SPORTS MEDICINE CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "BUSMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SHANE",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "229-924-2383",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "GA",
"license": "040628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000720893D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.