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

Mr. Derrick Andrew Bass, PA-C

Individual provider Athletic Trainer · NPI 1528502358

Mr. Derrick Andrew Bass, PA-C is a Physician Assistant in Clayton, North Carolina. Qualified in 2021, 5 years ago. Practices with UNC Physicians Network LLC, a 986-clinician group and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
5
Licensed in
GA, NC
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

166 Springbrook Ave Ste 101
Clayton, NC 27520-8520
Phone: (919) 550-3430
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11712 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence AT001963 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-11712 (NC)

Record details

NPI number1528502358
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 13, 2016
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Unc Physicians Network Llc — 986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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