NPIMap

Individual provider Active NPI

Justin V Bundy, MD

  • Orthopaedic Surgery of the Spine Physician
  • Augusta, GA
National Provider Identifier
1508986589
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
060053 Issued in GA
Practice address
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone
(706) 863-9797
Fax
(706) 860-7686
NPI assigned
Mar 31, 2007
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 060053 GA Primary

Addresses

Primary practice location

3650 J Dewey Gray Cir
Augusta, GA 30909-1867

Mailing address

PO Box 14039
Augusta, GA 30919-0039
Phone (706) 863-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000651 GA Practitioner - Orthopedic Surgery 4385715267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2511 Associates Way
Evans, GA 30809-3106
Phone (706) 722-3401

2520 University Dr
Thomson, GA 30824-0040
Phone (706) 595-6211

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.48 of 100Reported as group
Quality
56.49
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion183
Laminectomy or laminotomy (partial removal of spine bones)31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
060053GAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Orthopedic & Sports Medicine Specialists PC Orthopaedic Surgery of the Spine CurrentSince Aug 1, 2009 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Aug 1, 2009 Accepting new patients
Orthopaedic Spine Surgeons Orthopaedic Surgery of the Spine Past Accepting new patients
University of Utah Orthopedic Consultants Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

1298 Interstate Pkwy
Augusta, GA 30909
Phone (706) 229-6102

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000

501 Sparta Rd
Ste C
Sandersville, GA 31082
Phone (478) 552-3989

2520 University Dr
Thomson, GA 30824
Phone (706) 595-6211

304 Jones Ave
Waynesboro, GA 30830
Phone (706) 437-0046

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
  • Direct secure messaging: justin.bundy.1@23890.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Burke HealthWaynesboro, GA, CCN 110113 Hospital 5% Or Greater Direct Ownership Interest (3.3%) Jun 14, 2021
Burke Medical CenterWaynesboro, GA, CCN 11U113 Hospital Other (3.81%) Jun 22, 2021
Burke Medical CenterWaynesboro, GA, CCN 118556 Rural health clinic Other (3.81%) Jun 22, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1508986589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14039",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309190039",
            "telephone_number": "706-863-9797",
            "fax_number": "706-860-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091867",
            "telephone_number": "706-863-9797",
            "fax_number": "706-860-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "JUSTIN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "060053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.