Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA RAE BASILE, PA-C
ActiveOLIVIA RAE BASILE, PA-C is a Physician Assistant healthcare provider located in JOHNS CREEK, Georgia. NPI 1609652494 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JOHNS CREEK, GA
Registration Details
- NPI Number
- 1609652494
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2023 (2.9505741905079 yrs)
- Last Updated
- Dec 8, 2025
- License
-
13365 (GA)
Practice Information
- Address
-
5400 LAUREL SPRINGS PKWY STE 1401JOHNS CREEK, GA, 300246098Browse GA providers · Browse ZIP 30024
- Phone
- 6782080165
- Fax
- 8888140852
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JOHNS CREEK, GA
| Name | Credential | NPI |
|---|---|---|
| PROF. TAMIKO LIN D'ELENA | PA-C | 1164503108 |
| MR. SCOTT DAVID LONTZ | PA | 1154479970 |
| JO ANN YOON | PA-C | 1184758096 |
| RAZIA NAINA SHAREEF | PA-C | 1417199860 |
| NEIL S MACKAY | PA-C | 1790010841 |
| QUENTIN BOYLES FARMER III | — | 1437479219 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.