Active NPI
Hope Victoria Bussenius, R.N, M.N, F.N.P-C
- Family Nurse Practitioner
- Jefferson, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R100015
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85001597G | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R100015 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Current | 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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.