FEODERIS N BASILIO MD
NPI 1023143393
Pediatrics - Adolescent Medicine in Columbus, GA

Active since February 23, 2007
104 14TH ST, COLUMBUS, GA 31901(706) 507-5437(706) 507-5499 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Feoderis N Basilio Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FEODERIS N BASILIO MD (NPI 1023143393) is an individual adolescent medicine provider in Columbus, Georgia, licensed in Georgia (050092) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1023143393
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameFEODERIS N BASILIOCredential: MD
Location Address104 14TH STColumbus, GA 31901-2131
Mailing Address104 14th StColumbus, GA 31901-2131 · (706) 507-5437 · Fax (706) 507-5499
Fax(706) 507-5499
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJune 30, 2011
NPI 1023143393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in GA · 050092
Definition

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.

104 14TH ST, Columbus, GA 31901

Other Names 1

Other Name (5)Feoderis Basilio Sebert

Other Identifiers 5

Other000958702AGA · Peach State Health Plan
Medicaid000958702AGA
Other306085GA · Wellcare
Other60103339AL · Bcbs Al
Other52009279GA · Bcbs Ga

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
104 14TH ST
COLUMBUS, GA 31901
Family Medicine
104 14TH ST
COLUMBUS, GA 31901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023143393, enumerated as an "individual" on February 23, 2007.

The provider is located at 104 14TH ST COLUMBUS, GA 31901 and the phone number is (706) 507-5437.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.