Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

C. Shane Bussler, MD

Individual provider Internal Medicine Physician · NPI 1609879881

C. Shane Bussler, MD is an Internal Medicine in Gainesville, Georgia. Graduated from Medical College of Georgia School of Medicine in 2002, 24 years ago. Practices with Northeast Georgia Diagnostic Associates and Clinic, LLC, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
24
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1240 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3861
Phone: (770) 536-9864
Fax: (770) 297-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 55813 (GA)

Record details

NPI number1609879881
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESApril 15, 2010
Mailing address1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Northeast Georgia Diagnostic Associates And Clinic, Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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