Michayala Bush

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NCO-000001 Issued in GA

Practice address

164 Paul St
Smithville, GA 31787-2653

Phone

(229) 938-9764

NPI assigned

Nov 18, 2016

Last updated

Nov 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Middle Flint Area Community Service BoardGroup PAC ID 3274426150, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Middle Flint Area Community Service Board

  dba Fort Valley Outpatient

  • Community/Behavioral Health Agency
  • Fort Valley, GA
  • NPI 1366521932
  Medicare reassignment Care Compare group NPD
• Turning Point Care Center LLC

  dba Turning Point Hospital

  • Special Hospital
  • Moultrie, GA
  • NPI 1205809571
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment
• Middle Flint Area Community Service Board

  dba Middle Flint Behavioral HealthCare

  • Public Health or Welfare Agency
  • Americus, GA
  • NPI 1093784720
  NPD
• Middle Flint Area Community Service Board

  dba Middle Flint Behavioral HealthCare

  • Community/Behavioral Health Agency
  • Americus, GA
  • NPI 1487822599
  NPD
• Turning Point Care Center LLC

  dba Turning Point Hospital

  • Psychiatric Hospital
  • Moultrie, GA
  • NPI 1699000273
  NPD

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1396288684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 PAUL ST",
            "address_2": "PO BOX 267",
            "city": "SMITHVILLE",
            "state": "GA",
            "postal_code": "317872653",
            "telephone_number": "229-938-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 PAUL ST",
            "city": "SMITHVILLE",
            "state": "GA",
            "postal_code": "317872653",
            "telephone_number": "229-938-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MICHAYALA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NCO-000001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Elaine Angry
• Sandra N/a McGrady
• Ndubuisi John Okeze
• Marissa F Woodard, AGNP-C

• Family Nurse Practitioner in Smithville, GA
• Providers in Smithville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.