Active NPI
Bass Comprehensive Wellness Care
- Family Nurse Practitioner
- Newnan, GA
National Provider Identifier
1427799790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BASS COMPREHENSIVE WELLNESS CARE
- Practice address
- 77 Fendley Trce
Newnan, GA 30263-7089 - Phone
- (678) 578-5833
- Fax
- (678) 578-5830
- NPI assigned
- Apr 2, 2022
- Organization subpart
- Yes
- Parent organization
- BASS COMPREHENSIVE WELLNESS CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Altheia Bass-Seldon, DNP, NP-C
- Title
- Owner/Family Nurse Practitioner
- Phone
- (678) 578-5833
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
77 Fendley Trce
Newnan, GA 30263-7089
Mailing address
90F Glenda Trce Ste 344
Newnan, GA 30265-3858
Phone (678) 578-5833
National Provider Directory
National Provider Directory- Part of
- Bass Comprehensive Wellness
Locations
90F Glenda Trce
Ste 344
Newnan, GA 30265
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Newnan, GA
- NPI 1699349357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648857600000",
"number": "1427799790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90F GLENDA TRCE STE 344",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302653858",
"telephone_number": "678-578-5833",
"fax_number": "678-578-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 FENDLEY TRCE",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302637089",
"telephone_number": "678-578-5833",
"fax_number": "678-578-5830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASS COMPREHENSIVE WELLNESS CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BASS COMPREHENSIVE WELLNESS CARE",
"enumeration_date": "2022-04-02",
"last_updated": "2022-04-02",
"certification_date": "2022-04-02",
"status": "A",
"authorized_official_last_name": "BASS-SELDON",
"authorized_official_first_name": "ALTHEIA",
"authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "678-578-5833",
"authorized_official_credential": "DNP, NP-C"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.