Individual provider Active NPI

Jonathan Aaron Bussey, NP

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1750758132
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9427082 Issued in FL
Practice address
1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4675
Phone
(850) 877-5115
Fax
(850) 656-3645
NPI assigned
Sep 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN207221 GA
Family Nurse Practitioner 363LF0000X ARNP9427082 FL Primary

Addresses

Primary practice location

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4675

Mailing address

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4675
Phone (850) 877-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160711001131 FL Practitioner - Nurse Practitioner 1557679420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1607 Saint James CT
Suite 2
Tallahassee, FL 32308-5352
Phone (850) 878-8714

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9427082FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Jun 1, 2021 Accepting new patients
Dynamic Spine and Wellness Center CurrentSince Aug 24, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jun 1, 2021 Accepting new patients
Tallahassee Neurological Clinic CurrentSince May 16, 2016 Accepting new patients
Dynamic Medical Center, LLC CurrentSince Aug 24, 2021 Accepting new patients
Archbold Medical Group, Inc. Past Accepting new patients

Locations

1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1395 Cross Creek Cir
Tallahassee, FL 32301
Phone (850) 402-9060

2619 Centennial Blvd
Ste 102
Tallahassee, FL 32308
Phone (850) 431-2875

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

Interoperability endpoints

  • Direct secure messaging: jbussey21642@tallahasseememorial.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1750758132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084675",
            "telephone_number": "850-877-5115",
            "fax_number": "850-656-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084675",
            "telephone_number": "850-877-5115",
            "fax_number": "850-656-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "JONATHAN",
        "middle_name": "AARON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207221",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9427082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.