MRS. ENAS BASHA


Address: 1412 Milstead Ave Ne, Conyers, GA 30012-3877
Phone: 4046052800

MRS. ENAS BASHA (NPI# 1104328095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104328095
Entity Type Individual
Full Name MRS. ENAS BASHA
Credential NP
Practice Address 1412 Milstead Ave Ne
Conyers
GA 30012-3877
Mailing Address 1371 Sonoma Dr
Lawrenceville
GA 30045-7833
Practice Telephone 4046052800
Mailing Telephone 4042520256
Enumeration Date 2018-03-06
Last Update Date 2020-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
217282 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1412 MILSTEAD AVE NE
City CONYERS
State GA
Zip Code 30012-3877

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033191093 Clifford N Grossman Radiology 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2005-11-16
1417570102 Jonathan Stott Registered Nurse 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2020-05-28
1104486711 Tracie Theresa Edwards Nurse Practitioner 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2019-06-17
1386116309 Walker Lake Intensivist, PC Physician Assistant 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2019-01-02
1437629342 Walker Lake Emergency Group, PC Physician Assistant 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2018-12-04
1003385964 Walker Lake Physician Services, PC Internal Medicine 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2018-11-20
1306355680 Piedmont Rockdale Hospital Inc. General Acute Care Hospital 1412 Milstead Ave Ne, Conyers, GA 30012 2017-09-29
1093254658 Taylor Zahn Yengst Nurse Practitioner 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2017-02-15
1285186452 Shadae Mcmillan Podiatrist 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2016-11-03
1528414943 Kimberly Anderson Nurse Practitioner 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2016-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578188306 The Eye Md Ophthalmology 1359 Milstead Road, Suite #103, Conyers, GA 30012 2020-06-08
1043855836 Maurvet Minto Counselor 1175 Green St, Conyers, Conyers, GA 30012 2019-11-15
1770054561 Sarah Elizabeth Brooks Physical Medicine & Rehabilitation 1290 Milstead Ave Ne, Conyers, GA 30012 2018-12-06
1679091276 Valorie Antoinette Jones Counselor 1175 Green St Se, Conyers, GA 30012 2017-09-02
1558886341 Synergy Radiology, LLC Radiology 1501 Milstead Road, Suite 140, Conyers, GA 30012 2017-08-14
1558813295 Salon Lyon, LLC Specialist 1112 West Ave, Se, B, Conyers, GA 30012 2016-10-28
1992252753 Traci Hunter Bryan Pharmacist 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 2016-09-08
1316491830 Hye Rim Kim Anesthesiologist Assistant 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 2016-08-12
1235591397 David Jeffrey Wasserman Optometrist 1192 Dogwood Dr Sw, Conyers, GA 30012 2016-03-28
1174919187 Anique Archer Health Educator 2170 Lester Rd Nw, Conyers, GA 30012 2015-04-07
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891301164 Tashoy Wallace Nurse Practitioner 121 Odyssey Turn, Conyers, GA 30012-3681 2020-09-21
1720634199 Adrienne Laquinn Kelly Nurse Practitioner 3281 Old Salem Rd Se, Conyers, GA 30013-2257 2019-08-12
1114273984 Ashley Marie Grindlay Nurse Practitioner 1490 Milstead Rd Ne, Suite A, Conyers, GA 30012-3823 2012-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265032114 Candace Buckley Nurse Practitioner 244 Ashland Dr, Woodstock, GA 30189-7161 2020-10-29
1679170740 Jennifer Lassiter Nurse Practitioner 4116 Holley Rd., Lizella, GA 31052 2020-10-02
1912513672 Katherine Anne Sego Nurse Practitioner 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 2020-09-18
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1588276505 Sherron Johnson Nurse Practitioner 1980 Wrights Way, Jonesboro, GA 30236-7205 2020-08-20
1942811682 Ashlee Renee Mack Nurse Practitioner 116 Slate Cir, Savannah, GA 31419-9681 2020-08-16
1467063610 Rosa Maria Phillips Nurse Practitioner 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 2020-08-12
1508476581 Jarvis Reese Nurse Practitioner 413 Tug Ct, Warner Robins, GA 31088-2134 2020-08-05
1750991790 Akosua Frema Sarfo Nurse Practitioner 116 Ginkgo Ln, Grovetown, GA 30813-5392 2020-08-04
1851919039 Robert Brant Nurse Practitioner 20 Fairway Oaks, Waverly, GA 31565-2767 2020-07-14
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Competitor

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City CONYERS
Zip Code 30012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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