Organization Active NPI

Jeff L Bush, M.D., P.C.

  • Rheumatology Physician
  • Augusta, GA
National Provider Identifier
1861538944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
051300 Issued in GA
Legal business name
JEFF L BUSH, M.D., P.C.
Practice address
2322 Wrightsboro Rd
Augusta, GA 30904-6233
Phone
(706) 364-6495
Fax
(706) 364-6496
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeff L Bush, M.D.
Title
Owner
Phone
(706) 364-6495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 051300 GA Primary

Addresses

Primary practice location

2322 Wrightsboro Rd
Augusta, GA 30904-6233

Mailing address

PO Box 3545
Augusta, GA 30914-3545
Phone (706) 364-6495

National Provider Directory

National Provider Directory

Locations

2322 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 364-6495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861538944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3545",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143545",
            "telephone_number": "706-364-6495",
            "fax_number": "706-364-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046233",
            "telephone_number": "706-364-6495",
            "fax_number": "706-364-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF L BUSH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-364-6495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "051300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.