Joshua Jerrett Busscher, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

080345 Issued in GA

Practice address

110 Med Tech Pkwy Ste 1
Johnson City, TN 37604-4004

Phone

(423) 929-2111

Fax

(423) 431-0213

NPI assigned

Apr 24, 2014

Last updated

Jan 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

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 2

Specialty

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson City Eye Clinic PCGroup PAC ID 3375448681, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Johnson City Eye Clinic PC

  • Ophthalmology Physician
  • Johnson City, TN
  • NPI 1700827961

  VA

  Medicare reassignment Care Compare group
• Blue Ridge Medical Management Corporation

  dba First Assist Urgent Care

  • Urgent Care Clinic/Center
  • Elizabethton, TN
  • NPI 1144380833
  Medicare reassignment NPD
• Blue Ridge Medical Management C Orporation

  dba MSMG Im Eliz

  • Internal Medicine Physician
  • Elizabethton, TN
  • NPI 1184926719
  NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1982553756
  NPD
• Southeastern Retina Associates, P.C.

  • Retina Specialist (Ophthalmology) Physician
  • Hixson, TN
  • NPI 1104097310
  NPD (past)
• D K Williams PSC

  • Optometrist
  • Whitesburg, KY
  • NPI 1730369687
  NPD (past)
• Envision Professional Group, PLLC

  dba Envision Eye Care

  • Clinic/Center
  • Marion, VA
  • NPI 1427155472
  NPD (past)

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1558781955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5820",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025820",
            "telephone_number": "423-929-2111",
            "fax_number": "423-431-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MED TECH PKWY STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044004",
            "telephone_number": "423-929-2111",
            "fax_number": "423-431-0213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Midway Medical Park Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201652",
            "country_code": "US",
            "telephone_number": "423-929-2111",
            "fax_number": "423-431-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSSCHER",
        "first_name": "JOSHUA",
        "middle_name": "JERRETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "080345",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "GA",
            "license": "80345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Neal Burrow
• Samantha Bursley
• Richard Dale Burton
• William B Buselmeier, MD
• Kimberly Dawn Bushore-Maki, M.ED., LPC, MHSP
• Amber Preston Butler, FNP
• Deborah Mays Butler, PSYCHOLOGICAL EXAMIN
• Jacob Nathaniel Butler, MD
• Johnna Tate Butler, CHC
• Joy Peterson Butler, RPH

• Ophthalmology Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.