Basden Family Practice, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

030951 Issued in GA

Legal business name

BASDEN FAMILY PRACTICE, INC.

Practice address

4940 Governors Dr
Suite 203
Forest Park, GA 30297-2186

Phone

(404) 362-0282

Fax

(404) 362-0285

NPI assigned

May 23, 2008

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cheryl Basden, D.O.NPI 1427175462

Title

Owner

Phone

(404) 362-0282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl A Basden, DO

  • Family Medicine Physician
  • Duluth, GA
  • NPI 1427175462
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1245498567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 GOVERNORS DR",
            "address_2": "SUITE 203",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972186",
            "telephone_number": "404-362-0282",
            "fax_number": "404-362-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 GOVERNORS DR",
            "address_2": "SUITE 203",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972186",
            "telephone_number": "404-362-0282",
            "fax_number": "404-362-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASDEN FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BASDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-362-0282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "GRP6406",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.