SURYA PRAKASH REDDY BUSSA MD
NPI 1265113872
Internal Medicine in Griffin, GA

Q: What is Surya Prakash Reddy Bussa's NPI number?

The NPI number for Surya Prakash Reddy Bussa is 1265113872. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Q: What is Surya Prakash Reddy Bussa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 26, 2023PECOS Enrolled

601 S 8TH ST, GRIFFIN, GA 30224(470) 935-4803 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2026, Jul 15, 2026, Jul 26, 2023 (3 updates tracked since 2023).

On this page

About Surya Prakash Reddy Bussa Md NPPES

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

SURYA PRAKASH REDDY BUSSA MD (NPI 1265113872) is an individual internal medicine provider in Griffin, Georgia, licensed in Georgia (114032) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265113872

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSURYA PRAKASH REDDY BUSSACredential: MD

Location Address601 S 8TH STGriffin, GA 30224-4213

Mailing Address47 Ashford WayGriffin, GA 30224-8844 · (770) 906-8089

Phone(470) 935-4803

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 26, 2023

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1265113872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 114032

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

601 S 8TH ST, Griffin, GA 30224

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surya Prakash Reddy Bussa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597223453

PECOS Enrollment IDI20260820002908

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 Reassignment

Medicare enrollment records show Surya Prakash Reddy Bussa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC

32 mi

Internal Medicine

3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1205267192 (404) 344-0059

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 30224 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

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.

MISS COURTNEY RENEE STANLEY PA-C

Physician Assistant (Medical)