SHIRLEY EPHRAIM BASSEY (PA) – Physician Assistant, NPI 1972856961

SHIRLEY EPHRAIM BASSEY (PA) is a healthcare provider. based in Lithonia, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 6593 (GA). The NPI Number for SHIRLEY EPHRAIM BASSEY (PA) is 1972856961

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SHIRLEY EPHRAIM BASSEY (PA)
NPI
1972856961
Phone
(404) 285-4380
Address
2187 CHEROKEE VALLEY CIR
Enumeration Date
16 October 2012
Last Update Date
16 October 2012

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4047787525
Graduation Year
2012 (14 years ago)
PAC ID
9335390277
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20121127000256
Address ID
GA303221013AT1365XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for SHIRLEY EPHRAIM BASSEY (PA)

  • 2187 CHEROKEE VALLEY CIR

    LITHONIA, GA 300585365

    Phone: (404) 285-4380

    Type: Mailing

  • 55 WHITCHER STREET

    SUITE 160

    MARIETTA, GA 30060

    Phone: (770) 422-1372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-11-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121127000256IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8452$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4426$0
99239Hospital discharge day management, more than 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 30058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Where can patients find SHIRLEY EPHRAIM BASSEY (PA)'s NPI?
You can confirm SHIRLEY EPHRAIM BASSEY (PA) with NPI 1972856961; it appears in the national provider directory.
Does this profile mean SHIRLEY EPHRAIM BASSEY (PA) is currently active?
Yes — SHIRLEY EPHRAIM BASSEY (PA) appears active in the national provider directory.
Does SHIRLEY EPHRAIM BASSEY (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for SHIRLEY EPHRAIM BASSEY (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHIRLEY EPHRAIM BASSEY (PA)?
The page summarizes Lithonia, Georgia for SHIRLEY EPHRAIM BASSEY (PA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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