MRS. ENAS BASHA NP
NPI 1104328095
Nurse Practitioner - Acute Care in Conyers, GA
About Mrs. Enas Basha Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ENAS BASHA NP (NPI 1104328095) is an individual acute care provider in Conyers, Georgia, licensed in Georgia (217282) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Enas Basha Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Enas Basha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 539 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 13 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 175 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CONYERS, GA 30012
CONYERS, GA 30012
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Enas Basha's NPI number?
The NPI number for Enas Basha is 1104328095. It was assigned to this individual provider in the NPPES registry on March 6, 2018.
Where is Enas Basha located?
Enas Basha practices at 1412 Milstead Ave NE, Conyers, GA 30012. The listed phone number is (404) 605-2800.
What is Enas Basha's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Enas Basha enrolled in Medicare?
Yes. Enas Basha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Enas Basha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Enas Basha reassigns Medicare benefits to 3 organizations: Piedmont Cardiology Of Atlanta, LLC (Atlanta, GA), North Atlanta Kidney Specialists (Atlanta, GA) and Northside Cardiovascular Professional Services, LLC (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Enas Basha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Enas Basha accept?
Health plans from Ambetter Health list Enas Basha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Enas Basha was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Enas Basha, NP · NPI 1104328095
Acute Care physician in Conyers, Georgia. Individual provider, active in the CMS NPPES registry since March 6, 2018.
## Identity
- **NPI:** 1104328095 (Entity type: Individual)
- **Enumerated:** March 6, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 217282 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1412 MILSTEAD AVE NE, Conyers, GA 30012-3877
- **Phone:** (404) 605-2800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Piedmont Cardiology Of Atlanta, LLC (NPI 1275729691, Atlanta, GA); North Atlanta Kidney Specialists (NPI 1598872434, Atlanta, GA); Northside Cardiovascular Professional Services, LLC (NPI 1518979921, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104328095) · Data from the CMS NPPES public registry.