Individual provider Active NPI

Michael D Busby, PA-C

  • Physician Assistant
  • Milton, FL
National Provider Identifier
1962462671
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101940 Issued in FL
Practice address
6671 Caroline St
Milton, FL 32570-4781
Phone
(850) 981-9433
Fax
(850) 981-9436
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101940 FL Primary

Addresses

Primary practice location

6671 Caroline St
Milton, FL 32570-4781

Mailing address

2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630

Other identifiers 1

IdentifierTypeStateIssuer
292398000MedicaidFL

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
I20060501000505 FL Practitioner - Physician Assistant 3173533411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Escambia Community Clinics IncGroup PAC ID 9638165806, 36 clinicians

Practice addresses (Care Compare)

2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630

6671 Caroline St
Milton, FL 32570-4781
Phone (850) 891-9433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia Community Clinics, Inc CurrentSince Apr 1, 2006 Accepting new patients
Escambia Community Clinics Inc CurrentSince Apr 1, 2006 Accepting new patients
Escambia Community Clinics, Inc Past Accepting new patients

Locations

748 N Highway 29
Cantonment, FL 32533
Phone (850) 542-7163

6021 Industrial Blvd
Century, FL 32535
Phone (850) 724-4064

5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433

6671 Caroline St
Milton, FL 32570
Phone (850) 564-7722

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

14 W Jordan St
Pensacola, FL 32501
Phone (800) 436-4630

350 W Herman St
Pensacola, FL 32505
Phone (850) 332-5900

1400 N Palafox St
Pensacola, FL 32501
Phone (850) 444-9449

Interoperability endpoints

  • Direct secure messaging: michaelbusby@ecc.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1962462671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W JACKSON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057552",
            "telephone_number": "850-436-4630",
            "fax_number": "850-436-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 CAROLINE ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704781",
            "telephone_number": "850-981-9433",
            "fax_number": "850-981-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292398000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.