Individual provider Active NPI

Christopher Bryan Bush, NP-C

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1538523964
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN204646 Issued in GA
Practice address
1720 Phoenix Blvd Ste 600
Atlanta, GA 30349-5596
Phone
(678) 257-2547
Fax
(404) 795-5832
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN204646 GA Primary

Addresses

Primary practice location

1720 Phoenix Blvd Ste 600
Atlanta, GA 30349-5596

Mailing address

3237 Satellite Blvd Ste 425
Duluth, GA 30096-9009
Phone (678) 257-2547

Other practice location 1

3970 Five Forks Trickum Rd SW Ste A
Lilburn, GA 30047-2339
Phone (678) 257-2547

Other practice location 2

1200 Altmore Ave Ste 150
Atlanta, GA 30342-2492
Phone (678) 257-2547

Other practice location 3

505 Irvin Ct Ste 100
Decatur, GA 30030-1780
Phone (678) 257-2547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160617000607 GA Practitioner - Nurse Practitioner 5799076956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN204646GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Regeneration & Anti-Aging of CurrentSince Nov 20, 2024 Accepting new patients
Thrive Medical Partners LLC PastSince Sep 1, 2020 Accepting new patients
Thrive Orthopaedics LLC PastSince Apr 17, 2022 Accepting new patients

Locations

1601 Georgian Park
Ste Ter
Peachtree Cty, GA 30269
Phone (678) 834-5526

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIEEBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1538523964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 SATELLITE BLVD STE 425",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969009",
            "telephone_number": "678-257-2547",
            "fax_number": "404-795-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD STE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495596",
            "telephone_number": "678-257-2547",
            "fax_number": "404-795-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3970 Five Forks Trickum Rd SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300472339",
            "country_code": "US",
            "telephone_number": "678-257-2547",
            "fax_number": "404-795-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Altmore Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303422492",
            "country_code": "US",
            "telephone_number": "678-257-2547",
            "fax_number": "404-795-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Irvin Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301780",
            "country_code": "US",
            "telephone_number": "678-257-2547",
            "fax_number": "404-795-5832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRYAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN204646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.