Javan S Bass (NPI# 1669601381, PAC ID# 3476677584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1669601381 |
| PAC ID by PECOS | 3476677584 |
| Professional Enrollment ID | I20100826000284 |
| Full Name | Javan S Bass |
| Organization Legal Name | METRO FOOT AND ANKLE CENTERS, PC |
| Address |
8225 Mall Pkwy Suite 230 Lithonia GA 30038-6913 |
| Phone Number | 7704849599 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4486778594 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| 110226 | DEKALB MEDICAL CENTER AT HILLANDALE |
| 110018 | PIEDMONT NEWTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8225 Mall Pkwy, Suite 230, Lithonia, GA 30038-6913 | 7704849599 | METRO FOOT AND ANKLE CENTERS, PC |
| Organization Legal Name | METRO FOOT AND ANKLE CENTERS, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tommy Lee Tally | Podiatry | Metro Foot and Ankle Centers, PC | 8225 Mall Pkwy, Suite 230, Lithonia, GA 30038-6913 |
| Street Address |
8225 MALL PKWY SUITE 230 |
| City | LITHONIA |
| State | GA |
| Zip | 30038-6913 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Defreest Day | Family Medicine | Emory Medical Group, LLC | 8225 Mall Pkwy, Lithonia, GA 30038-6994 |
| Martin A Dixon | Family Medicine | Emory Medical Group, LLC | 8225 Mall Pkwy, Lithonia, GA 30038-6994 |
| Veronica D Antignac | Nurse Practitioner | Emory Medical Group, LLC | 8225 Mall Pkwy, Lithonia, GA 30038-6994 |
| Laura Miller | Internal Medicine | Emory Medical Group, LLC | 8225 Mall Pkwy, Lithonia, GA 30038-6994 |
| Olufonso A Ojo | Internal Medicine | 8225 Mall Pkwy, Suite 240, Lithonia, GA 30038-6995 | |
| Tommy Lee Tally | Podiatry | Metro Foot and Ankle Centers, PC | 8225 Mall Pkwy, Suite 230, Lithonia, GA 30038-6913 |
| Kristi Nicole Kinsey Gotier | Internal Medicine | Emory Medical Group, LLC | 8225 Mall Pkwy, Lithonia, GA 30038-6994 |
| Tiffiny W Ture | Anesthesiology | Peachtree Spine and Pain Physicians, Inc. | 8225 Mall Pkwy, Suite 250, Lithonia, GA 30038-7103 |
| Onyinyechi I Achionye | Optometry | 8225 Mall Pkwy, Suite 210, Lithonia, GA 30038-7103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa O Oparah | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Cynthia C Decamp | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Rhonda Tisdale | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Jenean A Gardner Brooks | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Tali Golan | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Deborah A Brewer | Nurse Practitioner | Piedmont Professional Services, LLC | 2945 Panola Rd, Lithonia, GA 30038-2313 |
| Austin Nosakhare Omwanghe | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 3007 Panola Rd C, Lithonia, GA 30038-2492 |
| Megan Lynn Mccreary | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 3007 Panola Rd C, Lithonia, GA 30038-2492 |
| Kyanna Denee Dixon | Occupational Therapy | Independent Physical Therapy of Georgia, LLC | 3007 Panola Rd C, Lithonia, GA 30038-2492 |
| Thomas Nicholas Vollmar | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 3007 Panola Rd C, Lithonia, GA 30038-2492 |
| Find all physicians in zip 30038 | |||
| City | LITHONIA |
| Zip Code | 30038 |
| Specialty | PODIATRY |
| City + Specialty | LITHONIA + PODIATRY |
Please comment or provide details below to improve the information on Javan S Bass.
| 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.