Provider Type Icon

ANNIE MARLENE RILEY-BUSSEY MD NPI 1609885698


NPI Information

NPI: 1609885698
Provider Name: ANNIE MARLENE RILEY-BUSSEY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2864 WOODRUFF STREET
FORT LIBERTY, NC
ZIP 28307
Phone: (910) 570-3113
Get Directions

Annie Marlene Riley-bussey, MD is a family medicine in Fort Liberty, NC. The provider is 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. Annie Marlene Riley-bussey, MD NPI is 1609885698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2864 WOODRUFF STREET
FORT LIBERTY, NC
ZIP 28307
Phone: (910) 570-3113
Fax: (910) 396-7271

The NPI 1609885698 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 1/19/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301070450MICHIGANNo
2207Q00000XFamily Medicine2009-01358NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104412182MEDICAIDMICHIGAN
2104412164MEDICAIDMICHIGAN
3104412155MEDICAIDMICHIGAN
4104412173MEDICAIDMASSACHUSETTS
5700H248710OTHERMICHIGANBLUE CROSS GROUP NUMBER
6104412146MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.