MRS. GEORGINA BUSTAMANTE MD
NPI 1497924658
Family Medicine in Chattanooga, TN

Q: What is Georgina Bustamante's NPI number?

The NPI number for Georgina Bustamante is 1497924658. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Q: What is Georgina Bustamante's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Georgina Bustamante enrolled in Medicare?

No. Georgina Bustamante has opted out of Medicare through June 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since February 21, 2008Opted out of Medicare · through Jun 30, 2027

921 E 3RD ST, CHATTANOOGA, TN 37403(423) 209-8239 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Georgina Bustamante Md NPPES

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

MRS. GEORGINA BUSTAMANTE MD (NPI 1497924658) is an individual family medicine provider in Chattanooga, Tennessee, licensed in Tennessee (52848) and active in the NPI registry since February 2008. She has opted out of Medicare through June 30, 2027.

NPPES Registry Identity

NPI1497924658

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. GEORGINA BUSTAMANTECredential: MD

Location Address921 E 3RD STChattanooga, TN 37403-2102

Mailing Address921 E 3rd StChattanooga, TN 37403-2102 · (423) 209-8239

Phone(423) 209-8239

Sole ProprietorNo

Enumeration DateFebruary 21, 2008

Last NPPES UpdateJanuary 13, 2017

✔ NPI 1497924658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 52848

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

921 E 3RD ST, Chattanooga, TN 37403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Georgina Bustamante Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 30, 2023 through June 30, 2027.

Opt-Out Effective DateJune 30, 2023

Opt-Out In Effect ThroughJune 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

STEPHEN C MILLER DO

Family Medicine