Provider Demographics
NPI:1033084298
Name:BESS, FATHIA (RN)
Entity type:Individual
Prefix:
First Name:FATHIA
Middle Name:
Last Name:BESS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 S BARTOW RD
Mailing Address - Street 2:4915 S BARTOW RD
Mailing Address - City:BARTOW
Mailing Address - State:GA
Mailing Address - Zip Code:30413-3100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 HILLCREST PKWY STE F
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3598
Practice Address - Country:US
Practice Address - Phone:478-274-8426
Practice Address - Fax:478-274-8430
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-08
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN268834253Z00000X, 311ZA0620X, 163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home