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MS. TIFFANY BASS-JACKSON APC
NPI 1699349357
Counselor - Professional in Newnan, GA

Active since May 18, 2021
90F GLENDA TRCE STE 244, NEWNAN, GA 30265(706) 289-9642(678) 578-5830 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, May 18, 2021 (2 updates tracked since 2021).

About Ms. Tiffany Bass-jackson Apc NPPES

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

MS. TIFFANY BASS-JACKSON APC (NPI 1699349357) is an individual professional provider in Newnan, Georgia, licensed in Georgia (LPC012222) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1699349357
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TIFFANY BASS-JACKSONCredential: APC
Location Address90F GLENDA TRCE STE 244Newnan, GA 30265-3858
Mailing Address90f Glenda Trce Ste 244Newnan, GA 30265-3858 · (706) 289-9642 · Fax (762) 333-2872
Phone(706) 289-9642
Fax(678) 578-5830
Sole ProprietorNo
Enumeration DateMay 18, 2021
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1699349357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC012222
90F GLENDA TRCE STE 244, Newnan, GA 30265
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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 Tiffany Bass-jackson's NPI number?

The NPI number for Tiffany Bass-jackson is 1699349357. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Tiffany Bass-jackson located?

Tiffany Bass-jackson practices at 90F Glenda Trce Ste 244, Newnan, GA 30265. The listed phone number is (706) 289-9642.

What is Tiffany Bass-jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tiffany Bass-jackson was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.