Charles Marcus Bass (NPI# 1306100979, PAC ID# 0648494146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306100979 |
| PAC ID by PECOS | 0648494146 |
| Professional Enrollment ID | I20140623002244 |
| Full Name | Charles Marcus Bass |
| Organization Legal Name | MILTON HALL SURGICAL ASSOCIATES, LLC |
| Address |
2365 Old Milton Pkwy Suite 300 Alpharetta GA 30009-2140 |
| Phone Number | 7707401860 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6204722887 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 7707401860 | MILTON HALL SURGICAL ASSOCIATES, LLC |
| 1485 Jesse Jewell Pkwy Se, Suite 220a, Gainesville, GA 30501-3801 | 6782062700 | MILTON HALL SURGICAL ASSOCIATES, LLC |
| Organization Legal Name | MILTON HALL SURGICAL ASSOCIATES, LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Orrin Davis | Otolaryngology | Milton Hall Surgical Associates, LLC | 2140 Peachtree Rd Nw, Suite 360, Atlanta, GA 30309-1316 |
| Janeann Lee | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
| Christopher Garlick | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 1995 N Park Place, Suite 550, Atlanta, GA 30339-2017 |
| Beftu Teklu | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 1485 Jesse Jewell Pkwy Se, Suite 220a, Gainesville, GA 30501-3801 |
| Johnny Won | Otolaryngology | Milton Hall Surgical Associates, LLC | 6916 Mcginnis Ferry Rd, Suite 100, Suwanee, GA 30024-1258 |
| Joel J Alexander | Otolaryngology | Milton Hall Surgical Associates, LLC | 1121 Johnson Ferry Rd, Suite 240, Marietta, GA 30068-5425 |
| Mallory Leigh Marcis | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 2140 Peachtree Rd Nw, Suite 360, Atlanta, GA 30309-1316 |
| Kasheen Faustin | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 1365 Rock Quarry Rd, Suite 300, Stockbridge, GA 30281-5024 |
| Stacey Serowitz Tygielski | Qualified Speech Language Pathologist | Milton Hall Surgical Associates, LLC | 2140 Peachtree Rd Nw, Suite 360, Atlanta, GA 30309-1316 |
| Nathan Milan Setka | Physician Assistant | Milton Hall Surgical Associates, LLC | 3330 Preston Ridge Rd, Suite 240, Alpharetta, GA 30005-4540 |
| Street Address |
2365 OLD MILTON PKWY SUITE 300 |
| City | ALPHARETTA |
| State | GA |
| Zip | 30009-2140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Skelton | Pathology | Chestatee Pathology Associates, PC | 2365 Old Milton Pkwy, Alpharetta, GA 30009-2140 |
| Mark M Beaty | Otolaryngology | Milton Hall Surgical Associates, LLC | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 |
| Anilkumar P Patel | Physician Assistant | Milton Hall Surgical Associates, LLC | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 |
| Phillip B Flexon | Otolaryngology | Milton Hall Surgical Associates, LLC | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 |
| Rolvin Charles Lentsch | Nurse Practitioner | Milton Hall Surgical Associates, LLC | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 |
| Mary Elizabeth Williamson | Otolaryngology | Milton Hall Surgical Associates, LLC | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30004 |
| Tania R Aurora | Physician Assistant | Milton Hall Surgical Associates, LLC | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen P Cooksey | Nurse Practitioner | Northside Primary Care Professional Services,llc | 10745 W Way, Suite 125, Alpharetta, GA 30009 |
| Jasmine J Park | Internal Medicine | Northside Primary Care Professional Services,llc | 10745 W Way, Alpharetta, GA 30009 |
| Stuart I Levin | Family Medicine | Levin Family Practice, PC | 1040 Cambridge Square, Suite E, Alpharetta, GA 30009-1800 |
| Debra K Levin | Family Medicine | Levin Family Practice, PC | 1040 Cambridge Square, Suite E, Alpharetta, GA 30009-1800 |
| Jeffrey D Berklich | Chiropractic | 1101 Cambridge Sq B, Alpharetta, GA 30009-1865 | |
| Floyd P Garrett | Psychiatry | 1031 Cambridge Sq A, Alpharetta, GA 30009-1869 | |
| Kimberly J Green | General Practice | 1090 Cambridge Sq A, Alpharetta, GA 30009-1875 | |
| Patrize J Smith | Clinical Social Worker | 1070 Cambridge Square, Suite A, Alphretta, GA 30009-1877 | |
| Wayne A Emineth | Physician Assistant | Dermatology Affiliates LLC | 401 S Main St, Suite A2, Alpharetta, GA 30009-1957 |
| Virginia R Forney | Dermatology | Dermatology Affiliates LLC | 401 S Main St, Suite A2, Alpharetta, GA 30009-1957 |
| Find all physicians in zip 30009 | |||
| City | ALPHARETTA |
| Zip Code | 30009 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALPHARETTA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.