Active NPI
Charlie Busby, DO
- Family Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3389
- Practice address
- 1301 Primacy Pkwy
Memphis, TN 38119-0213 - Phone
- (901) 866-8812
- NPI assigned
- Apr 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3389 | TN | Primary |
Addresses
Primary practice location
1301 Primacy Pkwy
Memphis, TN 38119-0213
Mailing address
1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q038587 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Primacy Pkwy
Memphis, TN 38119-0213
Phone (901) 866-8528
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000
930 Madison Ave
Memphis, TN 38103-3410
Hospital & facility affiliations
- St Francis Hospital
- Baptist Memorial Hospital Tipton
- Baptist Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.15 of 100
- Quality
- 59.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3389 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Medical Group, Inc. | Current | Accepting new patients | |
| Ut Medical Group Inc | Family Medicine | Current | Accepting new patients |
Locations
1999 Highway 51 S
Covington, TN 38019
Phone (901) 476-4457
1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360
1301 Primacy Pkwy
Memphis, TN 38119
Phone (901) 448-0230
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024
Interoperability endpoints
- cbusby546680@direct.bmhcc.org
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1326919200
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1679950679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PRIMACY PKWY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190213",
"telephone_number": "901-866-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSBY",
"first_name": "CHARLIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "3389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q038587",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.