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DR. KIMBERLY MONIQUE BUSH M.D.
NPI 1083704837
Psychiatry & Neurology - Child & Adolescent Psychiatry in Rock Hill, SC

Active since October 13, 2006PECOS Enrolled
448 LAKESHORE PKWY STE 110, ROCK HILL, SC 29730(803) 329-3177 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Monique Bush M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY MONIQUE BUSH M.D. (NPI 1083704837) is an individual child & adolescent psychiatry provider in Rock Hill, South Carolina, licensed in South Carolina (25947) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083704837
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KIMBERLY MONIQUE BUSHCredential: M.D.
Location Address448 LAKESHORE PKWY STE 110Rock Hill, SC 29730-4264
Mailing Address2715 Colonial DrColumbia, SC 29203-6818 · (704) 443-8755
Phone(803) 329-3177
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1083704837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in SC · 25947✔ Licensed in NC · 2008-00209
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
448 LAKESHORE PKWY STE 110, Rock Hill, SC 29730
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Monique Bush M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CATHY MENE'E CRAWFORD MA, QMRP, M.ED
Counselor (Mental Health)
448 LAKESHORE PKWY STE 110
ROCK HILL, SC 29730
York County (803) 329-3177
KHADIJA LAYNE MA, MFT
Marriage & Family Therapist
448 LAKESHORE PKWY STE 110
ROCK HILL, SC 29730
York County (803) 323-0027
DR. MARGARET KRISTIN GUADIANO ELLIOTT DBH, MA
Counselor (Mental Health)
448 LAKESHORE PKWY STE 110
ROCK HILL, SC 29730
York County (803) 328-9600
TARRYN PARKER
Counselor (Mental Health)
448 LAKESHORE PKWY STE 110
ROCK HILL, SC 29730
York County (803) 329-3177
DEDRA DARBY
Counselor (Mental Health)
448 LAKESHORE PKWY STE 110
ROCK HILL, SC 29730
York County (803) 329-3177
MRS. CHRISTIAN BROOKE COOPER M.ED., LPC-A
Counselor (Mental Health)
448 LAKESHORE PKWY STE 110
ROCK HILL, SC 29730
York County (803) 329-3177
CARMEN WELDON
Counselor (Mental Health)
448 LAKESHORE PKWY STE 110
ROCK HILL, SC 29730
York County (803) 329-3177
MS. COURTNEY PATRICE WIGGINS M.ED
Counselor (Mental Health)
448 LAKESHORE PKWY STE 110
ROCK HILL, SC 29730
York County (803) 323-1779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Bush's NPI number?

The NPI number for Kimberly Bush is 1083704837. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Kimberly Bush located?

Kimberly Bush practices at 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730. The listed phone number is (803) 329-3177.

What is Kimberly Bush's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kimberly Bush enrolled in Medicare?

Yes. Kimberly Bush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Bush was last updated on September 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.