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

Dr. Javan S. Bass, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1669601381

Dr. Javan S. Bass, DPM is a Podiatry in Lithonia, Georgia. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Georgia and Pennsylvania.

Years since qualifying
19
Licensed in
GA, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

8225 Mall Pkwy
Lithonia, GA 30038-6994
Phone: (770) 484-9599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001101 (GA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC006097 (PA)

Record details

NPI number1669601381
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 2, 2009
Last updated in NPPESFebruary 23, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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