Organization Active NPI

Bass Comprehensive Wellness Care

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1427799790
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.