Individual provider Active NPI

Diedre Marie Bass, PA-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1306142336
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05877 Issued in NC
Practice address
674 Merrimon Ave Ste 101
Asheville, NC 28804-3586
Phone
(828) 348-7418
Fax
(828) 348-7419
NPI assigned
Feb 9, 2011
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2011002476 MO
Physician Assistant 363A00000X 0010-05877 NC Primary

Addresses

Primary practice location

674 Merrimon Ave Ste 101
Asheville, NC 28804-3586

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

436 Airport Road
Suite 20
Arden, NC 28704
Phone (407) 200-2352

Other practice location 2

150 Ivey Ln
Pinehurst, NC 28374-9817
Phone (910) 215-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112002671 NC Practitioner - Physician Assistant 8224210992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

674 Merrimon Ave
Suite 101
Asheville, NC 28804-3586
Phone (828) 348-7418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2011002476MOMDPhysician Assistant
0010-05877NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc Family Medicine CurrentSince Dec 22, 2019 Accepting new patients
MCPC-8, LLC Family Medicine CurrentSince Oct 9, 2015 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Apr 21, 2023 Accepting new patients
Fletcher Hospital Inc Family Medicine CurrentSince Dec 22, 2019 Accepting new patients
Range Urgent Care, PLLC CurrentSince Jan 1, 2022 Accepting new patients
MCPC-8, LLC Family Medicine CurrentSince Oct 9, 2015 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Apr 21, 2023 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Shawnee Mission Medical Center Inc Family Medicine Past Accepting new patients

Locations

436 Airport Rd
Ste 20
Arden, NC 28704
Phone (407) 200-2352

208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200

4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: dbass222973@adventhealth.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1306142336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 MERRIMON AVE STE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043586",
            "telephone_number": "828-348-7418",
            "fax_number": "828-348-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 Airport Road",
            "address_2": "Suite 20",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "28704",
            "country_code": "US",
            "telephone_number": "407-200-2352",
            "fax_number": "407-200-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Ivey Ln",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283749817",
            "country_code": "US",
            "telephone_number": "910-215-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "DIEDRE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2011002476",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.