NPI age
19 years
Enumerated 2007-02-23
● Active
Type 1 · Individual
Feoderis N Basilio, MD
Basilio is 1 of 5 pediatrics providers in Columbus and 1 of 138 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 138 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
104 14th St
Columbus, GA 319012131
Mailing address
104 14th St
Columbus, GA 319012131
Specialties
-
Pediatrics PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 000958702A | PEACH STATE HEALTH PLAN |
| 05 (GA) | 000958702A | |
| 01 (GA) | 52009279 | BCBS GA |
| 01 (GA) | 306085 | WELLCARE |
| 01 (AL) | 60103339 | BCBS AL |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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