Charles Peter Busse, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15009 Issued in SC

Practice address

Agape Senior Primary Care Inc Dba SC House Calls
1400 Main Street
Conway, SC 29526

Phone

(843) 488-0101

Fax

(843) 488-3130

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Family Practice

Education

University of New Mexico School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.busse.1@7602.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 and National Provider Directory roles.

• SC House Calls Inc

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1518048859
  Medicare reassignment Care Compare group
• Senior Care of Marion LLC

  • Skilled Nursing Facility
  • Marion, SC
  • NPI 1639680572
  Medicare reassignment NPD
• Alternative Health Clinic

  • Acupuncturist
  • Myrtle Beach, SC
  • NPI 1609808609
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1477590594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AGAPE SENIOR PRIMARY CARE INC",
            "address_2": "1053 CENTER STREET",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696749",
            "telephone_number": "803-726-2350",
            "fax_number": "803-753-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AGAPE SENIOR PRIMARY CARE INC DBA SC HOUSE CALLS",
            "address_2": "1400 MAIN STREET",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-488-0101",
            "fax_number": "843-488-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "CHARLES",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LL0292",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Burden Jr., RPH
• Serena Burgess
• Lisa A Burk, APRN
• Keith Allen Burke, D.O.
• Philip Jason Burton
• Tracey Buster
• Jennifer Edwards Butler, DMD PA
• Robert Chad Butler
• Alyssa Joy Caggiano, LMSW
• Ryan Cain, DPT

• Family Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.