SALLIE DANIELE BUSSEY (NPI# 1104459692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104459692 |
| Entity Type | Individual |
| Full Name | SALLIE DANIELE BUSSEY |
| Credential | NP |
| Practice Address |
915 Gordon Ave Thomasville GA 31792-6614 |
| Mailing Address |
915 Gordon Ave Thomasville GA 31792-6699 |
| Practice Telephone | 2292282716 |
| Mailing Telephone | 2292282716 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN206902 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
915 GORDON AVE |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888357 | Elvin Coy Irvin Jr. | Family Medicine | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2005-11-18 |
| 1023658697 | Melinda Greene | Occupational Therapist | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2020-01-13 |
| 1346714540 | Kenneth Daniel Anders | Physical Therapy Assistant | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2019-01-22 |
| 1902372550 | Lauren Taylor Froede | Nurse Practitioner | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2018-10-22 |
| 1821563354 | Mckayla B Noble | Anesthesiologist Assistant | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2018-10-11 |
| 1619442753 | Jennifer Breen Mills | Nurse Practitioner | 915 Gordon Ave, Thomasville, GA 31792-6699 | 2018-10-04 |
| 1457836520 | Donald Bruhn | Anesthesiologist Assistant | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2018-09-25 |
| 1205355419 | Anna Noteman Petrey | Nurse Practitioner | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2017-09-19 |
| 1174043590 | Robert Anello | Dietitian, Registered | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2017-06-27 |
| 1336675487 | Lisa Dawn Lowe | Nurse Practitioner | 915 Gordon Ave, Gordon Avenue At Mimosa Drive, Thomasville, GA 31792-6614 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467802843 | Thania Juarez | Nurse Practitioner | 1122 Randolph St Ste 110, Thomasville, NC 27360-5730 | 2016-06-16 |
| 1871943324 | Donna Palmer | Nurse Practitioner | 321 N Oak Ridge Dr, Thomasville, AL 36784-5837 | 2016-06-15 |
| 1558751206 | Natosha Manning-rollins | Nurse Practitioner | 535 W Live Oak Cir, Thomasville, GA 31792-7159 | 2015-02-03 |
| 1306283577 | Lisa Ann Sims | Nurse Practitioner | 33650 Highway 43 Ste 200, Thomasville, AL 36784-3307 | 2013-05-29 |
| 1619177219 | Tanya Faye Ausburn | Nurse Practitioner | 9 Splitrail Cir, Thomasville, NC 27360-9406 | 2007-07-20 |
| 1497798821 | Rachel Burns | Nurse Practitioner | 113 W Hansell St, Thomasville, GA 31792-6664 | 2006-06-14 |
| 1730133521 | Michael Forehand | Nurse Practitioner | 100 S Madison St, Thomasville, GA 31792-5473 | 2006-05-19 |
| 1982652004 | Forsyth Memorial Hospital, Inc | Nurse Practitioner | 1301 National Hwy, Thomasville, NC 27360-2317 | 2006-05-04 |
| 1295713485 | Emma H Aycoth | Nurse Practitioner | 201 W Holly Hill Rd, Thomasville, NC 27360-5738 | 2006-01-06 |
| 1831172527 | Belinda Burleson Mull | Nurse Practitioner | 200 Arthur Dr, Thomasville, NC 27360-6275 | 2005-11-28 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.