MR. SANTONE BUSH
NPI 1417605155
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Active since March 11, 2022PECOS EnrolledAccepts Medicare Assignment
9211 PEACHFORD CIR, ATLANTA, GA 30338(678) 346-8265 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Santone Bush NPPES

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

MR. SANTONE BUSH (NPI 1417605155) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (RN253006) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417605155
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SANTONE BUSH
Location Address9211 PEACHFORD CIRAtlanta, GA 30338-6571
Mailing Address9211 Peachford CirAtlanta, GA 30338-6571 · (678) 346-8265
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 11, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1417605155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN253006
9211 PEACHFORD CIR, Atlanta, GA 30338

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Santone Bush is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587031398
PECOS Enrollment IDI20221108002627
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

2

Medicare enrollment records show Santone Bush reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
5454 YORKTOWN DRIVE
Atlanta, GA 30349
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
Community/Behavioral Health
191 LAMAR HALEY DR
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Highland Rivers Community Service Board
  • 142 clinicians in this Medicare group

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 30338 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Santone Bush's NPI number?

The NPI number for Santone Bush is 1417605155. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Santone Bush located?

Santone Bush practices at 9211 Peachford Cir, Atlanta, GA 30338. The listed phone number is (678) 346-8265.

What is Santone Bush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Santone Bush enrolled in Medicare?

Yes. Santone Bush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Santone Bush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santone Bush reassigns Medicare benefits to 2 organizations: Uhs Of Anchor L.P. (Atlanta, GA) and Highland Rivers Csb (Canton, GA). 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 Santone Bush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Santone Bush accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Santone Bush 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 Santone Bush was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.