Individual provider Active NPI

John Watson Bass, PA

  • Physician Assistant
  • Goldsboro, NC
National Provider Identifier
1336288091
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
104139 Issued in NC
Practice address
2704 Medical Office PL
Goldsboro, NC 27534-9460
Phone
(919) 736-4724
Fax
(919) 736-1677
NPI assigned
Feb 6, 2007
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 104139 NC Primary

Addresses

Primary practice location

2704 Medical Office PL
Goldsboro, NC 27534-9460

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

2607 Medical Office Pl Ste A
Goldsboro, NC 27534-9437
Phone (919) 739-9060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbass495940@direct.UNC.nchie.net Direct

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
I20050103000927 NC Practitioner - Physician Assistant 6800854175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

2607 Medical Office PL
Goldsboro, NC 27534-9437

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Jan 31, 2023 Accepting new patients
Unc Physicians Network LLC CurrentSince Jan 31, 2023 Accepting new patients
Gibbons Family Medicine Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

208 Cox Blvd
Ste 102
Goldsboro, NC 27534
Phone (919) 587-4081

625 Country Day Rd
Goldsboro, NC 27530
Phone (919) 731-4048

2607 Medical Office Pl
Ste A
Goldsboro, NC 27534
Phone (919) 739-9060

2600 US Highway 70 W
Goldsboro, NC 27530
Phone (919) 739-4808

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4680 US Highway 117 N
Pikeville, NC 27863
Phone (919) 242-5271

Interoperability endpoints

  • Direct secure messaging: jbass495940@direct.unc.nchie.net
  • Direct secure messaging: john.basspac.p1@direct.iapc.nextgenshare.com

Organizations & group practices 3

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 5

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1336288091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349460",
            "telephone_number": "919-736-4724",
            "fax_number": "919-736-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2607 Medical Office Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349437",
            "country_code": "US",
            "telephone_number": "919-739-9060",
            "fax_number": "919-739-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "JOHN",
        "middle_name": "WATSON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbass495940@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2607 Medical Office Pl Ste A",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.