DR. EDWARD KING III BASS (M.D.) – Family Medicine Physician, NPI 1205811262
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,103 FAMILY PRACTICE in GA
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Provider Addresses for DR. EDWARD KING III BASS (M.D.)
PO BOX 561
SYLVESTER, GA 317910561
Phone: (229) 776-2965
Fax: (229) 776-4452
Type: Mailing
1014, West Franklin Street, Sylvester, Worth County, Georgia, 31791, United States
SYLVESTER, GA 317911978
Phone: (229) 776-2965
Fax: (229) 776-4452
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,166.
Total Amount is formed as General ($1,166) + Research ($0) + Ownership ($0) = $1,166.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Lilly USA, LLC ($332).
Total Amount
$1,166
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,166
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $332 |
| Novo Nordisk Inc | $224 |
| GlaxoSmithKline, LLC. | $128 |
| AstraZeneca Pharmaceuticals LP | $70 |
| Otsuka America Pharmaceutical, Inc. | $58 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031229000508 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31791)
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