DR. JAVAN S. BASS (NPI# 1669601381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669601381 |
| Entity Type | Individual |
| Full Name | DR. JAVAN S. BASS |
| Credential | DPM |
| Practice Address |
8225 Mall Pkwy Lithonia GA 30038-6994 |
| Mailing Address |
302 Providence Dr Dallas GA 30157-7465 |
| Practice Telephone | 7704849599 |
| Mailing Telephone | 3345381020 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001101 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006097 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
8225 MALL PKWY |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038-6994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316991748 | Olufunso A Ojo | Internal Medicine | 8225 Mall Pkwy, Suite 240, Lithonia, GA 30038-6946 | 2006-05-20 |
| 1043574700 | Stonecrest Pediatric & Adult Medicine, Inc | Clinic/Center | 8225 Mall Pkwy, Suite 250, Lithonia, GA 30038-6994 | 2012-06-27 |
| 1295056364 | Onyi Eye Services, LLC | Optometrist | 8225 Mall Pkwy, Suite 210, Lithonia, GA 30038-6994 | 2010-06-11 |
| 1598097149 | Metro Foot and Ankle Centers, PC | Podiatrist | 8225 Mall Pkwy, Ste 230, Lithonia, GA 30038-6994 | 2010-02-08 |
| 1659573988 | Augustine H Conduah | Orthopaedic Surgery | 8225 Mall Pkwy, Suite 150, Lithonia, GA 30038-6994 | 2007-05-31 |
| 1144334798 | Martin A Dixon | Family Medicine | 8225 Mall Pkwy, Suite 100, Lithonia, GA 30038-6994 | 2006-08-19 |
| 1467474247 | Kristi Nicole Kinsey Gotier | Internal Medicine | 8225 Mall Pkwy, Suite 100, Lithonia, GA 30038-6994 | 2006-07-24 |
| 1962437707 | Onyinyechi Achionye | Optometrist | 8225 Mall Pkwy, Suite 210, Lithonia, GA 30038-6994 | 2006-07-11 |
| 1235167982 | Redan Hairston Family Medicine | Family Medicine | 8225 Mall Pkwy, Suite 250, Lithonia, GA 30038-6994 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| Find all providers in zip 30038 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
| 1598097149 | Metro Foot and Ankle Centers, PC | Podiatrist | 8225 Mall Pkwy, Ste 230, Lithonia, GA 30038-6994 | 2010-02-08 |
| 1326278896 | Jocelyn Kelly Curry | Podiatrist | 5910 Hillandale Dr, Ste 102, Lithonia, GA 30058-1884 | 2009-07-19 |
| 1851433320 | Naim G. Shaheed, Dpm, P.C. | Podiatrist | 5910 Hillandale Drive, Suite 102, Lithonia, GA 30058-1877 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
| 1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
| 1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| 1245770437 | Ankle and Foot Assoc, LLC | Podiatrist | 94 Andrews Way, Saint Marys, GA 31558-1632 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
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| 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.