P Praxis·MD
● Active Type 1 · Individual

Jackie Maryline Bassong, FNP-C, FNP-BC

Family Medicine·Atlanta, GA· NPI 1477296366 · Enumerated 2022 · 4 years on NPI
Bassong is 1 of 469 family medicine providers in Atlanta and 1 of 5448 in Georgia.
NPI age
4 years
Enumerated 2022-04-18
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
4 years
↓ 13 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Practice location
8 Perimeter Ctr E Apt 1414
Atlanta, GA 303461676
📞 7706282500fax 7706282550
Mailing address
170 Dunagan Dr
Lawrenceville, GA 300459017

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1475 Holcomb Bridge Rd Ste 129
Roswell, GA 300762126
📞 6783252250

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #RN279714 taxonomy 207Q00000X

Practice context

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

Recently enumerated nearby: 5 new family medicine providers have been added in Atlanta 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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