Individual provider Active NPI

George D Bussey, MD

  • Psychiatry Physician
  • Kailua, HI
National Provider Identifier
1679513527
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD4115 Issued in HI
Practice address
27 Kalaka PL
Kailua, HI 96734-5802
Phone
(808) 260-8853
NPI assigned
Jun 8, 2006
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X MD4115 HI
Psychiatry Physician 2084P0800X MD4115 HI Primary
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X MD4115 HI

Addresses

Primary practice location

27 Kalaka PL
Kailua, HI 96734-5802

Mailing address

PO Box 8500
Pinehurst, NC 28374-8500
Phone (910) 715-5413

Other identifiers 1

IdentifierTypeStateIssuer
8912933MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20190129000999 HI Practitioner - Psychiatry 7214952639 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD4115HIMDHospice and Palliative Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Hawaii, Inc. CurrentSince Jul 17, 2022 Accepting new patients
Hospice Hawaii, Inc. CurrentSince Nov 1, 2018 Accepting new patients

Locations

860 Iwilei Rd
Honolulu, HI 96817
Phone (808) 778-8035

Organizations & group practices 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1679513527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748500",
            "telephone_number": "910-715-5413",
            "fax_number": "910-715-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 KALAKA PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345802",
            "telephone_number": "808-260-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "GEORGE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "HI",
            "license": "MD4115",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD4115",
            "primary": true
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "HI",
            "license": "MD4115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912933",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.