Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Albany State University

Organization Orthopaedic Surgery Physician · NPI 1598284408

Albany State University is an Orthopaedic Surgery Physician in Albany, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

504 College Dr
Albany, GA 31705-2717
Phone: (972) 367-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 008291 (GA)

Record details

NPI number1598284408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Albany State Sports Medicine
NPI enumeratedSeptember 12, 2017
Last updated in NPPESSeptember 12, 2017
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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