Individual provider Active NPI

Schvon Bussey, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Leesburg, GA
National Provider Identifier
1093139693
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN160658 Issued in GA
Practice address
104 Pine Arbor Dr
Leesburg, GA 31763-3184
Phone
(706) 593-9263
NPI assigned
Feb 18, 2014
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NCO-000001 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN160658 GA Primary

Addresses

Primary practice location

104 Pine Arbor Dr
Leesburg, GA 31763-3184

Mailing address

104 Pine Arbor Dr
Leesburg, GA 31763-3184
Phone (706) 593-9263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180214001045 GA Practitioner - Nurse Practitioner 4284994138 Reassigns benefits to 4 organizations
I20250902001747 MN Practitioner - Nurse Practitioner 4284994138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9173MNMDPhysical Therapist
NCO-000001GAMDPsychiatric/Mental Health Nurse Practitioner
RN160658GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 24, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jan 17, 2023 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Jan 17, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jan 17, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jan 17, 2023 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1093139693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PINE ARBOR DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633184",
            "telephone_number": "706-593-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PINE ARBOR DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633184",
            "telephone_number": "706-593-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "SCHVON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NCO-000001",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN160658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

Verify at the official NPI Registry.