Individual provider Active NPI

Edet Okon Bassey, MD

  • Internal Medicine Physician
  • Columbus, GA
National Provider Identifier
1336123181
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044408 Issued in GA
Practice address
1041 Talbotton Rd
Columbus, GA 31904-8745
Phone
(706) 660-8825
Fax
(706) 660-8897
NPI assigned
Dec 5, 2005
Last updated
Jan 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044408 GA Primary

Addresses

Primary practice location

1041 Talbotton Rd
Columbus, GA 31904-8745

Mailing address

1041 Talbotton Rd
Columbus, GA 31904-8745
Phone (706) 660-8825

Other identifiers 1

IdentifierTypeStateIssuer
00807881CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000072 GA Practitioner - Internal Medicine 4082712757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1041 Talbotton Rd
Columbus, GA 31904-8745
Phone (706) 660-8825

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044408GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Primary Care Internal Medicine PC Internal Medicine CurrentSince Jun 4, 2007 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients

Locations

1041 Talbotton Rd
Columbus, GA 31904
Phone (706) 327-0700

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2660 Buena Vista Rd
Ste F
Columbus, GA 31906
Phone (706) 327-5662

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Interoperability endpoints

  • Direct secure messaging: edet.bassey.1@5849.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5849/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1336123181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 TALBOTTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048745",
            "telephone_number": "706-660-8825",
            "fax_number": "706-660-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 TALBOTTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048745",
            "telephone_number": "706-660-8825",
            "fax_number": "706-660-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSEY",
        "first_name": "EDET",
        "middle_name": "OKON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00807881C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.