P Praxis·MD
● Active Type 1 · Individual

DR. Stanley Seth Bush III, M.D.

Pediatrics·MacOn, GA· NPI 1578500591 · Enumerated 2006 · 19 years on NPI
Bush is 1 of 77 pediatrics providers in MacOn and 1 of 2726 in Georgia.
NPI age
19 years
Enumerated 2006-05-31
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-09-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
1508b Hardeman Ave
MacOn, GA 312011416
📞 4787417337fax 4787417371
Mailing address
1508b Hardeman Ave
MacOn, GA 312011416
📞 4787417337fax 4787417371

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #048846 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (GA) 582566360 CIGNA HEALTHCARE
01 (GA) 582566360 UNITED HEALTHCARE
01 (GA) 582566360 AETNA
01 (GA) 582566360 MAILHANDLERS
01 (GA) 582566360 STATE HEALTH BENEFIT PLAN
01 (GA) 582566360 SECURE HEALTH PLANS
01 (GA) 582566360 CORE ADMINISTRATIVE SVCS
05 (GA) 000872737A
01 (GA) 582566360 BCBS

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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