Active NPI
Annie Bass, PA-C
- Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2164
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-6606 - Phone
- (843) 792-1414
- NPI assigned
- Sep 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
SC
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Physician Assistant
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
Hospital
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
Hospital
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
Hospital
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
Hospital
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Medical Associates of the Medical University of South Carol
Practice addresses (Care Compare)
1106 Chuck Dawley Blvd
Mount Pleasant, SC 29464-4183
Phone (843) 792-1414
1122 Chuck Dawley Blvd
Mt Pleasant, SC 29464-4183
Phone (843) 792-6200
1600 Midtown Ave
Mount Pleasant, SC 29464-3771
Phone (843) 792-1414
167 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616
Phone (843) 792-1414
8992 University Blvd
Suite 100
North Charleston, SC 29406-8104
Phone (843) 876-2722
Hospital & facility affiliations
- Musc Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191014002105 | SC | Practitioner - Physician Assistant | 3274854583 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2164 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1600 Midtown Ave
Mt Pleasant, SC 29464
Phone (843) 284-6555
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2164 | SC | |
| Physician Assistant | 363A00000X | 2164 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
171 Ashley Ave
Charleston, SC 29425-6606
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other names 1
NPPES NPI Registry- Ms. Annie Bass
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2019.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1275935322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294256606",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "ANNIE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "2164",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "BASS",
"prefix": "MS.",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.