Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHERN FAMILY WALK-IN
Active
Organization
SOUTHERN FAMILY WALK-IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE BASS NP (OWNER)
(912) 705-8050
Entity
Organization
Contact information
Practice address
73 SW PARK AVE STE B, BAXLEY, GA 31513-0485
(912) 705-8050
(912) 705-8051
Mailing address
73 SW PARK AVE STE B, BAXLEY, GA 31513-2008
(912) 705-8050
(912) 705-8051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235627464
—
GA
Enumeration date
11/11/2020
Last updated
07/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up