ANNALYCE BASS NP-BC
NPI 1447019690
Nurse Practitioner - Family in Fayetteville, GA

Active since March 18, 2024
745 GLYNN ST S, FAYETTEVILLE, GA 30214(770) 719-5490 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annalyce Bass Np-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNALYCE BASS NP-BC (NPI 1447019690) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (327997) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1447019690
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNALYCE BASSCredential: NP-BC
Location Address745 GLYNN ST SFayetteville, GA 30214-2049
Mailing Address190 Little Creek DrFayetteville, GA 30214-7235 · (404) 556-7108
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1447019690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 327997
Also ListedNurse PractitionerTaxonomy 363L00000X · License 327997 (GA)
745 GLYNN ST S, Fayetteville, GA 30214

Other Identifiers 3

Other568946544Bcbs
Medicaid236DC
Other5874Health Partners

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
745 GLYNN ST S
FAYETTEVILLE, GA 30214
Nurse Practitioner (Acute Care)
745 GLYNN ST S
FAYETTEVILLE, GA 30214
Internal Medicine
745 GLYNN ST S
FAYETTEVILLE, GA 30214
Chiropractor
745 GLYNN ST S
FAYETTEVILLE, GA 30214
Nurse Practitioner (Primary Care)
745 GLYNN ST S
FAYETTEVILLE, GA 30214
Physician Assistant
745 GLYNN ST S
FAYETTEVILLE, GA 30214
Nurse Practitioner (Adult Health)
745 GLYNN ST S
FAYETTEVILLE, GA 30214
Registered Nurse (General Practice)
745 GLYNN ST S
FAYETTEVILLE, GA 30214

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 Annalyce Bass's NPI number?

The NPI number for Annalyce Bass is 1447019690. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Annalyce Bass located?

Annalyce Bass practices at 745 Glynn St S, Fayetteville, GA 30214. The listed phone number is (770) 719-5490.

What is Annalyce Bass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Annalyce Bass was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.