Kala Jo Bugg, AGNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN246678 Issued in GA

Practice address

2501 N Patterson St
Valdosta, GA 31602-1785

Phone

(222) 433-1000

NPI assigned

Feb 19, 2019

Last updated

Feb 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

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.

• Old Mission Wound Care Indiana LLC

  • Specialist
  • Traverse City, MI
  • NPI 1225878283
  NPD

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1689130312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021785",
            "telephone_number": "615-969-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021785",
            "telephone_number": "222-433-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGG",
        "first_name": "KALA",
        "middle_name": "JO",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN246678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Bryant, MED, CCC-SLP
• John Thomas Buchanan, MD
• Courtney Elaine Buck, LCSW
• Ashley Buckhannon
• Katherine Buescher, RPH
• Edlene Buie
• Kassidy Bunte, MED CCC SLP
• Maria Buo, PT
• Dana Marie Burgio Adams, AA-C
• Drimalyn Burgman, NP

• Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.