Individual provider Active NPI

Jaime Lynne Bass, NP

  • Family Nurse Practitioner
  • Chatsworth, GA
National Provider Identifier
1497441158
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN254900 Issued in GA
Practice address
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone
(706) 695-4564
NPI assigned
Apr 14, 2023
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN254900 GA Primary

Addresses

Primary practice location

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029

Mailing address

616 Wallace Wells Cir
Lincolnton, GA 30817-2802
Phone (912) 258-1964

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524003222 GA Practitioner - Nurse Practitioner 3274999875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Emergency Group LLCGroup PAC ID 6103926241, 12 clinicians

Practice addresses (Care Compare)

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 530-3395

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as group
Quality
87.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Emergency Physicians, LLC CurrentSince Apr 15, 2023 Accepting new patients
Emergency Physicians Inc CurrentSince Dec 1, 2024 Accepting new patients
Wayne Emergency Group LLC CurrentSince Jan 7, 2026 Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1497441158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 WALLACE WELLS CIR",
            "city": "LINCOLNTON",
            "state": "GA",
            "postal_code": "308172802",
            "telephone_number": "912-258-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 OLD DALTON ELLIJAY RD",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052029",
            "telephone_number": "706-695-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JAIME",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN254900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

Verify at the official NPI Registry.