Charles John Ussery, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

67622 Issued in GA

Practice address

2501 N Patterson St
South Georgia Medical Center
Valdosta, GA 31602-1735

Phone

(229) 333-1110

NPI assigned

Jul 9, 2009

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Emergency Medicine

Education

Philadelphia Col of Osteo Med, Sewanee, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reid Emergency Group, PCGroup PAC ID 5991051872, 11 clinicians

Anava Emergency Consultants LLCGroup PAC ID 7719326248, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134
• SGMC Health Hospital, Valdosta, GA, CCN 110122
• Putnam General Hospital Hospital, Eatonton, GA, CCN 111313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.ussery.1@22730.direct.athenahealth.com

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.

• Reid Emergency Group, PC

  • Emergency Medicine Physician
  • Eatonton, GA
  • NPI 1659872497
  Medicare reassignment Care Compare group NPD
• Anava Emergency Consultants LLC

  • Emergency Care Clinic/Center
  • Macclenny, FL
  • NPI 1003698184
  Medicare reassignment Care Compare group NPD
• Montgomery Emergency Group, LLC

  • Emergency Medicine Physician
  • Vidalia, GA
  • NPI 1861773764
  Medicare reassignment NPD
• South Georgia Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386903649
  Medicare reassignment NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment NPD
• Baker County Medical Services, Inc

  • Emergency Medicine Physician
  • Macclenny, FL
  • NPI 1578822508
  Medicare reassignment NPD
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, GA

  Medicare reassignment NPD
• Anava Hospitalists LLC

  • Hospitalist Physician
  • Macclenny, FL
  • NPI 1932096625
  NPD
• Baker County Medical Services Inc

  dba Baker Rural Health Clinic

  • Rural Health Clinic/Center
  • Macclenny, FL
  • NPI 1386082220
  NPD
• Houston Emergency Physicians LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1558319947
  NPD (past)
• Morningside Emergency Physicians LLC

  • Emergency Medicine Physician
  • Perry, GA
  • NPI 1114975521
  NPD (past)
• Sheridan Emergency Physician Services of Georgia,LLC

  • Emergency Medicine Physician
  • Valdosta, GA
  • NPI 1477796183
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Putnam General Hospital Authority

  dba Putnam General Hospital

  • Critical Access Hospital
  • Eatonton, GA
  • NPI 1386670834
  Care Compare affiliation
• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation
• Baker County Medical Services Inc

  • Rural Acute Care Hospital
  • Macclenny, FL
  • NPI 1104926401
  Care Compare affiliation

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1154550390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2278",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313242278",
            "telephone_number": "229-333-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N PATTERSON ST",
            "address_2": "SOUTH GEORGIA MEDICAL CENTER",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021735",
            "telephone_number": "229-333-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USSERY",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67622",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "55810-21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urological Clinic of Valdosta PC
• Usrc Valdosta Home Program LLC (US Renal Care Valdosta Home Program)
• Louis A. Uwagerikpe, M.D.
• Val Optics Inc
• Felix G Valdez, MD
• Valdosta Addiction Associates, Inc (Treatment Center of Valdosta)
• Valdosta Advanced Healing Inc

• Emergency Medicine Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.

Verify at the official NPI Registry.