Ashli Nicole Bussey
Individual provider Active NPI In Home Supportive Care Agency · Douglas, GA
NPI 1346094331 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1346094331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 1101 Gaskin Ave N
Douglas, GA 31533-3021 - Phone
- (912) 592-2817
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carewell Home Health Agency LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | GA | ||
| In Home Supportive Care Agency | 253Z00000X | GA | Yes |
Addresses
Primary practice location
1101 Gaskin Ave N
Douglas, GA 31533-3021
Mailing address
618 Roper St
Douglas, GA 31533-4031
Phone (912) 592-2817
Other providers in Douglas, GA
- Mark Thomas Brulte
- Susan W Bryant
- Jayla Snipes Bullock
- Kristin Margie Burnam
- Isadora Burnham
- Wandle Keith Butler
- Mary Ann Camp
- Care Medical Center LLC
- Care Medical Center LLC
- Carewell Home Health Agency LLC
All providers in Douglas, GA · In Home Supportive Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.