Individual provider Active NPI

Hope Victoria Bussenius, R.N, M.N, F.N.P-C

  • Family Nurse Practitioner
  • Jefferson, GA
National Provider Identifier
1124216296
Registry record updated Oct 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R100015 Issued in GA
Practice address
657 Athens St
Jefferson, GA 30549-1474
Phone
(706) 367-7302
NPI assigned
Oct 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R100015 GA
Family Nurse Practitioner 363LF0000X R100015 GA Primary
Primary Care Nurse Practitioner 363LP2300X R100015 GA
Women's Health Nurse Practitioner 363LW0102X R100015 GA

Addresses

Primary practice location

657 Athens St
Jefferson, GA 30549-1474

Mailing address

718 Buck TRL
Hoschton, GA 30548-2189
Phone (706) 367-7302

Other identifiers 1

IdentifierTypeStateIssuer
85001597GMedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013001768 GA Practitioner - Nurse Practitioner 9638488612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R100015GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Jan 3, 2022 Accepting new patients
Health Connection Inc Family Past Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

2988 Shallowford Rd
Marietta, GA 30066
Phone (678) 560-1871

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLC 171 clinicians

Practice addresses (Care Compare)

2988 Shallowford Rd
Marietta, GA 30066-3033
Phone (678) 732-1527

NPI Registry JSON

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

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192233600000",
    "number": "1124216296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 BUCK TRL",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305482189",
            "telephone_number": "706-367-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 ATHENS ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491474",
            "telephone_number": "706-367-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSENIUS",
        "first_name": "HOPE",
        "middle_name": "VICTORIA",
        "credential": "R.N, M.N, F.N.P-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-13",
        "last_updated": "2007-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "R100015",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R100015",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "R100015",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "R100015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001597G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

Verify at the official NPI Registry.