P Praxis·MD
● Active Type 1 · Individual

MR. Charles Marcus Bass JR., PA

Physician Assistant·Gainesville, GA· NPI 1306100979 · Enumerated 2012 · 13 years on NPI
Bass is 1 of 108 physician assistant providers in Gainesville and 1 of 4616 in Georgia.
NPI age
13 years
Enumerated 2012-06-28
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-09-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
1485 Jesse Jewell Pkwy Ne Ste 220a
Gainesville, GA 30501
📞 7707401860fax 6783472104
Mailing address
925 N Point Pkwy Ste 130
Alpharetta, GA 300055211
📞 7707401860fax 6783472104

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2365 Old Milton Pkwy, Suite 300
Alpharetta, GA 300092140
📞 7707401860fax 6783472104

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #006476 taxonomy 363A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 9 new physician assistant providers have been added in Gainesville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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