MS. KELLY OTISHA BUSH NP
NPI 1619380250
Nurse Practitioner - Family in Smyrna, GA
About Ms. Kelly Otisha Bush Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY OTISHA BUSH NP (NPI 1619380250) is an individual family provider in Smyrna, Georgia, licensed in Georgia (RN148840) and active in the NPI registry since June 2014.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SMYRNA, GA 30080
SMYRNA, GA 30080
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 Kelly Bush's NPI number?
The NPI number for Kelly Bush is 1619380250. It was assigned to this individual provider in the NPPES registry on June 10, 2014.
Where is Kelly Bush located?
Kelly Bush practices at 3240 S Cobb Dr SE, Smyrna, GA 30080. The listed phone number is (770) 433-3477.
What is Kelly Bush's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
What insurance does Kelly Bush accept?
Health plans from CareSource list Kelly 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 Kelly Bush was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ms. Kelly Otisha Bush, NP · NPI 1619380250
Family physician in Smyrna, Georgia. Individual provider, active in the CMS NPPES registry since June 10, 2014.
## Identity
- **NPI:** 1619380250 (Entity type: Individual)
- **Enumerated:** June 10, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN148840 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3240 S COBB DR SE, Smyrna, GA 30080-4194
- **Phone:** (770) 433-3477
## Record status
- **NPPES last updated:** June 10, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1619380250) · Data from the CMS NPPES public registry.