Jessie Marguriette Bass, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN252752 Issued in GA

Practice address

73 SW Park Ave Ste B
Baxley, GA 31513-2008

Phone

(912) 705-8050

Fax

(912) 705-8051

NPI assigned

Mar 23, 2021

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Family Walk-inGroup PAC ID 8224442231, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Appling Healthcare Hospital, Baxley, GA, CCN 110071

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessie.bass.1@22730.direct.athenahealth.com

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.

• Southern Family Walk-in

  • Family Nurse Practitioner
  • Baxley, GA
  • NPI 1588266977
  Medicare reassignment Care Compare group Authorized official
• The Baxley and Appling County Hospital Authority

  dba Appling Medical Group

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1073752143
  NPD (past)

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

• The Baxley and Appling County Hospital Authority

  dba appling healthcare system

  • General Acute Care Hospital
  • Baxley, GA
  • NPI 1861615304
  Care Compare affiliation

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1740866375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SW PARK AVE STE B",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315132008",
            "telephone_number": "912-705-8050",
            "fax_number": "912-705-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SW PARK AVE STE B",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315132008",
            "telephone_number": "912-705-8050",
            "fax_number": "912-705-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JESSIE",
        "middle_name": "MARGURIETTE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN252752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dustin Arnold, MA, NCC, LPC
• Briana Baxley Aycock, PHARMD
• Barjinder Singh,MD (south georgia oncology hematology center)
• Barnes Drug Store, LLC (Barnes Pharmacy)
• Mark Tollison Barnes, R.PH.
• Baxley Eyecare Center
• Baxley Medical Clinic, LLC
• Baxley Primary Care, PC
• Baxley Wellness Pharmacy Inc.
• Baxley Wellness Pharmacy Inc. Long-Term Care (Baxley Wellness Pharmacy Inc)

• Family Nurse Practitioner in Baxley, GA
• Providers in Baxley, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.