Individual provider Active NPI

Nicholas Bass, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Opp, AL
National Provider Identifier
1982117412
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-144846 Issued in AL
Practice address
702 N Main St
Opp, AL 36467-1626
Phone
(334) 493-3541
NPI assigned
Nov 7, 2017
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-144846 AL Primary

Addresses

Primary practice location

702 N Main St
Opp, AL 36467-1626

Mailing address

267 Ridge Dr
Headland, AL 36345-7405
Phone (334) 796-7670

Other practice location 1

820 W Washington St
Eufaula, AL 36027-1822
Phone (334) 688-7000

Other practice location 2

126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 744-2601

Other practice location 3

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180607002661 AL Practitioner - Nurse Practitioner 8628333994 Reassigns benefits to 9 organizations
I20181211000468 FL Practitioner - Nurse Practitioner 8628333994 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Hospitlalist at Chipley PLGroup PAC ID 9537382494, 3 clinicians
Calhoun-Liberty Hospital Association IncGroup PAC ID 8820007016, shared by 4 NPIs, 12 clinicians
Southland Medical Solutions of Eufaula, PLGroup PAC ID 1951469410, 8 clinicians

Practice addresses (Care Compare)

1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

16257 State Rd 71
Blountstown, FL 32424-2808
Phone (850) 674-5411

20370 NE Burns Ave
Blountstown, FL 32424-1045

820 W Washington St
Eufaula, AL 36027-1822
Phone (344) 688-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-144846ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jun 30, 2024 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Sep 22, 2025 Accepting new patients
Southland Medical Solutions of Ozark, PL CurrentSince Jan 8, 2021 Accepting new patients
Southland Medical Solutions of Eufaula, PL CurrentSince Jan 11, 2025 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jun 30, 2024 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Northern Alabama Physicians, LLP Current Accepting new patients
The Health Care Authority of the City of Eufaula Current Accepting new patients
Southland Hospitalist at Ozark, PL CurrentSince Aug 6, 2023 Accepting new patients
Southland Hospitlalist at Chipley, PL. CurrentSince Jul 14, 2018 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Sep 22, 2025 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Oct 29, 2018 Accepting new patients
Calhoun Liberty Hospital Association, Inc. Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411

20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

1360 Brickyard Rd
Fl Co
Chipley, FL 32428
Phone (850) 638-1610

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
  • Direct secure messaging: nicholas.bass.1@11619.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1982117412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 RIDGE DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363457405",
            "telephone_number": "334-796-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671626",
            "telephone_number": "334-493-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Eufaula",
            "state": "AL",
            "postal_code": "360271822",
            "country_code": "US",
            "telephone_number": "334-688-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "AL",
            "postal_code": "363602018",
            "country_code": "US",
            "telephone_number": "334-744-2601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 Brickyard Rd",
            "address_purpose": "LOCATION",
            "city": "Chipley",
            "state": "FL",
            "postal_code": "324286303",
            "country_code": "US",
            "telephone_number": "850-638-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "NICHOLAS",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-144846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

Verify at the official NPI Registry.