P Praxis·MD
● Active Type 1 · Individual

Patricia Rose Bast, DO

Pediatrics·Marietta, GA· NPI 1710322896 · Enumerated 2013 · 13 years on NPI
Bast is 1 of 86 pediatrics providers in Marietta and 1 of 2726 in Georgia.
NPI age
13 years
Enumerated 2013-05-02
Primary specialty
Pediatrics
Plus 3 subspecialties
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-04-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
2
In the 23% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
780 Canton Rd Ne, Ste 200
Marietta, GA 30060
📞 7702858026
Mailing address
780 Canton Rd Ne, Ste 200
Marietta, GA 30060
📞 7702858026

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
755 Mount Vernon Hwy Ne Ste 430
Sandy Springs, GA 303284279
📞 7702858026
Location 3
220 Country Club Dr
Stockbridge, GA 30281
📞 7702858026

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #82246CA license #20A14128 taxonomy 208000000X
  • General Practice
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #82246 taxonomy 208D00000X
  • Lactation Consultant, Non-RN
    An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have...
    taxonomy 174N00000X

Practice context

Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new pediatrics providers have been added in Marietta 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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