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SALLIE DANIELE BUSSEY NP
NPI 1104459692
Nurse Practitioner in Thomasville, GA

Active since February 13, 2020PECOS Enrolled
915 GORDON AVE, THOMASVILLE, GA 31792(229) 228-2716 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sallie Daniele Bussey Np NPPES

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

SALLIE DANIELE BUSSEY NP (NPI 1104459692) is an individual nurse practitioner in Thomasville, Georgia, licensed in Georgia (RN206902) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104459692
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSALLIE DANIELE BUSSEYCredential: NP
Location Address915 GORDON AVEThomasville, GA 31792-6614
Mailing Address915 Gordon AveThomasville, GA 31792-6699 · (229) 228-2716
Phone(229) 228-2716
Sole ProprietorNo
Enumeration DateFebruary 13, 2020
✔ NPI 1104459692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN206902
Definition
(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.
915 GORDON AVE, Thomasville, GA 31792
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sallie Daniele Bussey Np 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sallie Bussey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Georgia Emergency Medicine Associates PC
Same address
Emergency Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 147 clinicians in this Medicare group
NPI 1386903649 (229) 228-2000
Rural Urgent Care LLC
251 mi
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Alabama and Georgia enrollments
  • 276 clinicians in this Medicare group
NPI 1932586476 (205) 545-5088
Signify Health Medical Associates, PLLC
770 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MADISON GRACE MAXWELL NP
Nurse Practitioner (Family)
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2435
DR. PRASHANT BALIGA M.D.
Internal Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-8575
DR. CAMILLE DOMINGO MD
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
MELINDA GREENE
Occupational Therapist
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2823
GEREN THOMAS PHARMD
Pharmacist
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2948
DANIEL JOSE TORRES
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
GARY DAVIDUK CRNA
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
JACKSON SETH TUCKER AA
Anesthesiologist Assistant
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (800) 232-5703

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 Sallie Bussey's NPI number?

The NPI number for Sallie Bussey is 1104459692. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Sallie Bussey located?

Sallie Bussey practices at 915 Gordon Ave, Thomasville, GA 31792. The listed phone number is (229) 228-2716.

What is Sallie Bussey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sallie Bussey enrolled in Medicare?

Yes. Sallie Bussey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sallie Bussey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sallie Bussey reassigns Medicare benefits to 3 organizations: South Georgia Emergency Medicine Associates PC (Thomasville, GA), Rural Urgent Care LLC (Centre, AL) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sallie Bussey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sallie Bussey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Sallie Bussey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sallie Bussey was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.