MRS. ENAS BASHA NP
NPI 1104328095
Nurse Practitioner - Acute Care in Conyers, GA

Active since March 06, 2018PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1412 MILSTEAD AVE NE, CONYERS, GA 30012(404) 605-2800 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2020, Mar 6, 2018 (2 updates tracked since 2018).

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

NPI1104328095
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. ENAS BASHACredential: NP
Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877
Mailing Address1371 Sonoma DrLawrenceville, GA 30045-7833 · (404) 252-0256
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 6, 2018
Last NPPES UpdateFebruary 19, 20202 updates tracked since enumeration
NPI 1104328095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · 217282
1412 MILSTEAD AVE NE, Conyers, GA 30012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2264788967
PECOS Enrollment IDI20180711001864
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

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.

Hospitalist
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Internal Medicine
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Pathology (Anatomic Pathology & Clinical Pathology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Registered Nurse
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Physician Assistant
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Nurse Practitioner (Family)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Radiology (Diagnostic Radiology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Psychiatry & Neurology (Neurology)
1412 MILSTEAD AVE NE
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.

When was this NPI record last updated?

The NPPES record for Enas Basha was last updated on February 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.