Edward K Bass Iii (NPI# 1205811262, PAC ID# 8022915743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205811262 |
| PAC ID by PECOS | 8022915743 |
| Professional Enrollment ID | I20031229000508 |
| Full Name | Edward K Bass Iii |
| Organization Legal Name | PHOEBE WORTH MEDICAL CENTER, INC |
| Address |
807 S Isabella St Sylvester GA 31791-7554 |
| Gender | M |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840104527 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111328 | PHOEBE WORTH MEDICAL CENTER |
| 110007 | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 807 S Isabella St, Sylvester, GA 31791-7554 | PHOEBE WORTH MEDICAL CENTER, INC |
| Organization Legal Name | PHOEBE WORTH MEDICAL CENTER, INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Hardie | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 1014 W Franklin St, Sylvester, GA 31791-1978 |
| Melinda P Reed | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Tamara E Sealy | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| James E Black | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Sucheta G Garg | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Patricia Mason | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Johnathan E Gaskins | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Jason B Boyd | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Daren K Wooten | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Street Address |
807 S ISABELLA ST |
| City | SYLVESTER |
| State | GA |
| Zip | 31791-7554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda P Reed | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Tamara E Sealy | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| James E Black | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Sucheta G Garg | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Patricia Mason | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Johnathan E Gaskins | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Jason B Boyd | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Daren K Wooten | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natu M Patel | Internal Medicine | 813 S Isabela St, Sylvester, GA 31791-0650 | |
| Myron T Mcdonald | Nurse Practitioner | Tift Regional Health System, Inc. | 1010 W Franklin St, Sylvester, GA 31791-1900 |
| Doris L Wilder | Family Medicine | Tift Regional Health System, Inc. | 1010 W Franklin St, Sylvester, GA 31791-1900 |
| Timothy J Hardie | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 1014 W Franklin St, Sylvester, GA 31791-1978 |
| Robert S Reid | Chiropractic | 304 N Westberry St, Sylvester, GA 31791-2125 | |
| Frank Turpin Iii | Optometry | 127 N Main St, Sylvester, GA 31791-2195 | |
| Savannah Jenkins | Physical Therapy | Southwest Georgia Therapy, Inc | 1009 W Franklin St, Sylvester, GA 31791-7174 |
| William Jenkins Jr. | Physical Therapy | Southwest Georgia Therapy, Inc | 1009 W Franklin St, Sylvester, GA 31791-7174 |
| City | SYLVESTER |
| Zip Code | 31791 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SYLVESTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Edward K Bass Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.