NPI age
19 years
Enumerated 2006-10-13
● Active
Type 1 · Individual
DR. Monuj Triven Bashambu, MD
Bashambu is 1 of 26 pediatrics providers in Augusta and 1 of 187 in Georgia.
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, SC, OH
3 states
Status
Active
No deactivations on record
Last NPPES update
2013-08-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 187 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 80% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
1120 15th St
Augusta, GA 309120004
Mailing address
1499 Walton Way, Suite 1400
Augusta, GA 309012602
Specialties
-
Pediatrics PrimaryA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0072631 | |
| 01 (OH) | 000000785511 | ANTHEM |
| 01 (OH) | 35.094111 | LICENSE |
| 01 (OH) | 9105965 | AETNA |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new pediatrics provider has been added in Augusta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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