Ashlyn Nicole Bazemore, LPN
Individual provider Active NPI Licensed Practical Nurse · Sylvania, GA
NPI 1093633653 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1093633653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN093463 (GA)
- Practice address
- 215 Mims Rd
Sylvania, GA 30467-1994 - Phone
- (912) 564-7426
- NPI assigned
- Jul 9, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN093463 | GA | Yes |
Addresses
Primary practice location
215 Mims Rd
Sylvania, GA 30467-1994
Mailing address
215 Mims Rd
Sylvania, GA 30467-1994
Other providers in Sylvania, GA
- Adult Homes Services
- Altea Medical Georgia PC
- Karen Beale Anderson
- Anesthesia Providers of Augusta, Inc
- John Will Bacon
- Dawn Bello
- Hattie Hodges Brannen
- Lori W Burns
- Clark Family Care LLC
- Kendall Clark
All providers in Sylvania, GA · Licensed Practical Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.