DR. EDWARD KING BASS III (NPI# 1205811262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205811262 |
| Entity Type | Individual |
| Full Name | DR. EDWARD KING BASS III |
| Credential | M.D. |
| Practice Address |
1014 W Franklin St Sylvester GA 31791-1978 |
| Mailing Address |
Po Box 561 Sylvester GA 31791-0561 |
| Practice Telephone | 2297762965 |
| Practice Fax Number | 2297764452 |
| Mailing Telephone | 2297762965 |
| Mailing Fax Number | 2297764452 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 049270 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00892196D | 05 | |
| GA | 00892196C | 05 |
| Street Address |
1014 W FRANKLIN ST |
| City | SYLVESTER |
| State | GA |
| Zip Code | 31791-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560238 | Lisa M Frazier | Nurse Practitioner | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2020-05-27 |
| 1912499641 | Timothy J Hardie | Nurse Practitioner | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2018-05-30 |
| 1093221574 | Melinda P Reed | Nurse Practitioner | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2017-12-20 |
| 1720514540 | Miguel Carmona Pires | Internal Medicine | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2017-05-11 |
| 1346789120 | Patricia Mason | Nurse Practitioner | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2017-02-14 |
| 1508290966 | Andrea L Whiddon | Nurse Practitioner | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2013-08-21 |
| 1225477094 | Tamara Elizabeth Sealy | Family Medicine | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2013-06-14 |
| 1235421769 | Wallace A Ajakaiye | Family Medicine | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2011-05-03 |
| 1891770764 | Phoebe Worth Medical Center, Inc | Clinic/Center | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669992657 | Nicole Sloan | Physician Assistant | 240 Old State Route 50, Sylvester, GA 31791 | 2017-06-21 |
| 1609237262 | Tiffany Hett | Case Manager/Care Coordinator | 502 E Oak St, Sylvester, GA 31791 | 2016-03-10 |
| 1003181215 | Dr. Hugh Hudson Dds | Dentist | 108 West Pope Street, Sylvester, GA 31791 | 2012-03-21 |
| 1699904136 | Phoebe Worth Medical Center | Respite Care | 1014 West Franklin St, Sylvester, GA 31791 | 2009-07-06 |
| 1942350657 | Reid Chiropractic Office PC | Chiropractor | 304 North Westberry Street, Sylvester, GA 31791 | 2007-01-12 |
| 1326071705 | Dialysis Clinic, Inc. | Clinic/Center | 102 Pineview Drive, Sylvester, GA 31791 | 2006-07-08 |
| 1114497625 | Premiercare Transportation LLC | Non-emergency Medical Transport (VAN) | 302 N Westberry St, Sylvester, GA 31791 | 2018-11-27 |
| 1851702328 | Benjamin Hudson | Pharmacist | 807 S Isabella St, Sylvester, GA 31791 | 2014-05-18 |
| 1851484026 | Natu M Patel | Family Medicine | 813 S Isabela Street, Suite A, Sylvester, GA 31791-0650 | 2006-10-02 |
| 1972043529 | Monica Oakley | Dietitian, Registered | 810 N Isabella St, Sylvester, GA 31791-1314 | 2017-03-01 |
| Find all providers in zip 31791 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427189943 | Henry Gordon Davis Jr. | Family Medicine | 108 E Liberty Ave, Sylvester, GA 31791-2162 | 2007-03-08 |
| 1851484026 | Natu M Patel | Family Medicine | 813 S Isabela Street, Suite A, Sylvester, GA 31791-0650 | 2006-10-02 |
| 1487284956 | Tift Regional Health System Inc. | Family Medicine | 1010 W Franklin St, Sylvester, GA 31791-1900 | 2020-01-23 |
| 1225477094 | Tamara Elizabeth Sealy | Family Medicine | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2013-06-14 |
| 1235421769 | Wallace A Ajakaiye | Family Medicine | 1014 W Franklin St, Sylvester, GA 31791-1978 | 2011-05-03 |
| 1407045115 | Tift Regional Health System Inc | Family Medicine | 1010 W Franklin St, Sylvester, GA 31791-1900 | 2007-10-18 |
| 1538376942 | Martha Louise Cooper | Family Medicine | 807 S Isabella St, Sylvester, GA 31791-7554 | 2007-05-16 |
| 1871508606 | Nova Family Care | Family Medicine | 807 S Isabella St, Suite C, Sylvester, GA 31791-7554 | 2006-07-30 |
| 1760476774 | Doris Louise Wilder | Family Medicine | 1010 W Franklin St, Sylvester, GA 31791-1900 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.