Olivia Rae Basile, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13365 Issued in GA

Practice address

5400 Laurel Springs Pkwy Ste 1401
Johns Creek, GA 30024-6098

Phone

(678) 208-0165

Fax

(888) 814-0852

NPI assigned

Sep 6, 2023

Last updated

Dec 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Olivia Rae Wease Former name

Medicare fee-for-service enrollment

Enrolled in NC, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJFECD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NSC Cardiology, Inc.

  • Cardiovascular Disease Physician
  • Johns Creek, GA
  • NPI 1154905917
  Medicare reassignment NPD
• Cardiovascular Clinic of North Georgia PC

  • Cardiovascular Disease Physician
  • Gainesville, GA
  • NPI 1578839296
  Medicare reassignment
• Northern Hospital District of Surry County

  dba Northern Urgent Care

  • Urgent Care Clinic/Center
  • Mount Airy, NC
  • NPI 1255950325
  Medicare reassignment
• Northern Hospital District of Surry County

  dba Northern Urgent Care

  • Rural Health Clinic/Center
  • Mount Airy, NC
  • NPI 1720839228
  NPD
• Northern Hospital District of Surry County

  • General Practice Physician
  • Mount Airy, NC
  • NPI 1770161853
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Hospital of Surry County

  dba North Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1609652494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 1401",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300246098",
            "telephone_number": "678-208-0165",
            "fax_number": "888-814-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 1401",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300246098",
            "telephone_number": "678-208-0165",
            "fax_number": "888-814-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "OLIVIA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "WEASE",
            "middle_name": "RAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saday M Barrett
• Malgorzata Barrow, DPT
• Terri Barton, L.C.S.W.
• Carolyn Jill Barylak, OT
• Griffin Kane Basile, PA-C
• Allison Bates, LAPC, MS, BED
• Sarah Kathleen Batzel, LPC
• Erin Baum
• Katherine E Beals, NCC
• Amber M Becker, ARNP-CNP

• Physician Assistant in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.