Charlie Busby (NPI# 1679950679, PAC ID# 8729309422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679950679 |
| PAC ID by PECOS | 8729309422 |
| Professional Enrollment ID | I20181024001193 |
| Full Name | Charlie Busby |
| Organization Legal Name | UT MEDICAL GROUP, INC. |
| Address |
1999 Hwy 51 S Covington TN 38019-3630 |
| Phone Number | 9014764457 |
| Gender | M |
| Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3173435369 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 1999 Hwy 51 S, Covington, TN 38019-3630 | 9014764457 | UT MEDICAL GROUP, INC. |
| Organization Legal Name | UT MEDICAL GROUP, INC. |
| Physicians | 125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Waid | Nurse Practitioner | Ut Medical Group, Inc. | 910 Madison Ave, Suite 922, Memphis, TN 38103-3483 |
| Marthinus Theunis Zeeman | Addiction Medicine | Ut Medical Group, Inc. | 6401 Poplar Ave, Memphis, TN 38119-4823 |
| Ryan S Rahman | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Jonathan William Brugger | Ophthalmology | Ut Medical Group, Inc. | 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260 |
| Brian T Fowler | Ophthalmology | Ut Medical Group, Inc. | 930 Madison Ave, Suite 200, Memphis, TN 38103-3410 |
| Robert D Wallace | Plastic and Reconstructive Surgery | Ut Medical Group, Inc. | 1505 N 2nd St, Memphis, TN 38107-1003 |
| Neal Beckford | Otolaryngology | Ut Medical Group, Inc. | 7675 Wolf River Cir, Suite 202, Memphis, TN 38138-1747 |
| Robert B Canada | Internal Medicine | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Iverson C Bell Jr. | Psychiatry | Ut Medical Group, Inc. | 920 Madison Ave, Suite 200, Memphis, TN 38103-3434 |
| William L Hickerson | Plastic and Reconstructive Surgery | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Street Address |
1999 HWY 51 S |
| City | COVINGTON |
| State | TN |
| Zip | 38019-3630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lolita L Horton | Nurse Practitioner | Ut Medical Group, Inc. | 1999 Hwy 51 S, Covington, TN 38019-3630 |
| Dumitru S Turcanu | Pediatric Medicine | Ut Medical Group, Inc. | 1999 Hwy 51 S, Covington, TN 38019-3630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasma Graham Robertson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| John Larkin | Internal Medicine | 1995 Hwy 51 S 208, Covington, TN 38019 | |
| Jennifer Mitchell Miller | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Tammy B Billings | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Kristen Anderson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Madison Wallace | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Sheketa Lane | Physician Assistant | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Deondra Edwards | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Tanya R Bartholomew | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Morgan C Smith | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Find all physicians in zip 38019 | |||
| City | COVINGTON |
| Zip Code | 38019 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COVINGTON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.