Individual provider Active NPI

Jeana Suzanne Bush, MD

  • Allergy & Immunology Physician
  • Warner Robins, GA
National Provider Identifier
1639303605
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
73717 Issued in GA
Practice address
304 Margie Dr
Warner Robins, GA 31088-7817
Phone
(478) 333-2965
Fax
(478) 278-8312
NPI assigned
May 6, 2009
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X RTP 006134 GA
Allergy & Immunology Physician 207K00000X 73717 GA Primary
Pediatrics Physician 208000000X 157439 NC

Addresses

Primary practice location

304 Margie Dr
Warner Robins, GA 31088-7817

Mailing address

6701 Baum Dr
Suite 140
Knoxville, TN 37919-7360
Phone (865) 584-5727

Other names 1

  • Jeana Suzanne Arnold Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819006850 GA Practitioner - Allergy/Immunology 5193971737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates, PAGroup PAC ID 1355246398, 74 clinicians

Practice addresses (Care Compare)

2076 Ingleside Ave
Macon, GA 31204-2028
Phone (478) 254-8305

Merit-based Incentive Payment System (MIPS)

Final score
78.55 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
60.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RTP 006134GAMDAllergy & Immunology Physician
157439NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, PA Allergy & Immunology CurrentSince Aug 1, 2015 Accepting new patients
Allergy Associates, PA CurrentSince Aug 1, 2015 Accepting new patients
Allergy Associates, P.a. Past Accepting new patients

Locations

2076 Ingleside Ave
Macon, GA 31204
Phone (478) 254-8305

3951 Ridge Ave
Ste C
Macon, GA 31210
Phone (478) 254-8305

460 Meadow Ridge Dr
Ste A
Milledgeville, GA 31061
Phone (478) 414-0393

140 Osigian Blvd
Ste 400
Warner Robins, GA 31088
Phone (478) 254-8305

6701 Baum Dr
Ste 140
Knoxville, TN 37919

Interoperability endpoints

  • Direct secure messaging: jeana.bush@allergyasc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1639303605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BAUM DR",
            "address_2": "SUITE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197360",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MARGIE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887817",
            "telephone_number": "478-333-2965",
            "fax_number": "478-278-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JEANA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "RTP 006134",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "73717",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "157439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANA",
            "last_name": "ARNOLD",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.