P Praxis·MD
● Active Type 1 · Individual

DR. Reneeta Basu, D.O.

Family Medicine·Lilburn, GA· NPI 1003235417 · Enumerated 2014 · 12 years on NPI
Basu is 1 of 34 family medicine providers in Lilburn and 1 of 5448 in Georgia.
NPI age
12 years
Enumerated 2014-04-14
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
GA, PA, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
615 Beaver Ruin Rd Nw
Lilburn, GA 300473401
📞 7709358616
Mailing address
1365 Clifton Rd Ne
Atlanta, GA 303221013

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
📞 5614208555fax 5614208550
Location 3
1500 Fifth Ave
McKeesport, PA 151322422
📞 4126642167
Location 4
1500 Fifth Ave
McKeesport, PA 151322422
📞 4126642167

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #85232FL license #OS16141 taxonomy 207Q00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    PA license #OT015694 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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