FLORIDA SELGA BASILIO M.D. NPI 1861527103

NPI Information

NPI: 1861527103
Provider Name: FLORIDA SELGA BASILIO, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

CLIA Number: 11D0678454

Address:
1519 13TH AVE
COLUMBUS, GA
ZIP 31901
Phone: (706) 576-5570
Get Directions

Florida Selga Basilio, M.D. is an adolescent medicine pediatrics in Columbus, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Florida Selga Basilio, M.D. NPI is 1861527103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1519 13TH AVE
COLUMBUS, GA
ZIP 31901-908
Phone: (706) 576-5570
Fax: (706) 576-4049

The CLIA number assigned to this NPI record is 11D0678454 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	028720	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000327137E	OTHER	GEORGIA	PEACH STATE HEALTH PLAN
2	60024312	OTHER	ALABAMA	BCBS AL
3	000327137E	MEDICAID	GEORGIA
4	52236043	OTHER	GEORGIA	BCBS GA
5	306087	OTHER	GEORGIA	WELLCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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