Active NPI
Nicholas Bass, AGPCNP-BC
- Primary Care Nurse Practitioner
- Opp, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1-144846
- Practice address
- 702 N Main St
Opp, AL 36467-1626 - Phone
- (334) 493-3541
- NPI assigned
- Nov 7, 2017
- Last updated
- Jul 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- Calhoun-Liberty Hospital Association Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-144846 | AL | MD | Primary Care Nurse Practitioner |
Practice roles
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
- https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
- 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.
-
- Emergency Medicine Physician
- Eufaula, AL
- NPI 1205092723
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
-
- Hospitalist Physician
- Chipley, FL
- NPI 1801213020
-
dba Wiregrass Medical Center ER
- Emergency Medicine Physician
- Geneva, AL
- NPI 1710752779
-
- Emergency Medicine Physician
- Decatur, AL
- NPI 1669618310
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1750608949
-
- Emergency Medical Services (Emergency Medicine) Physician
- Ozark, AL
- NPI 1144545500
-
dba Medical Center Barbour
- Critical Access Hospital
- Eufaula, AL
- NPI 1730692641
-
dba Medical Center Barbour Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Eufaula, AL
- NPI 1801309711
-
- Skilled Nursing Facility
- Blountstown, FL
- NPI 1033434196
-
- Emergency Care Clinic/Center
- Blountstown, FL
- NPI 1649596784
-
dba Medical Center Barbour Senior Care Center
- Psychiatric Hospital Unit
- Eufaula, AL
- NPI 1548773450
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.