Sona Baile

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SONA BAILE

Practice address

2984 Cooper Woods LN
Loganville, GA 30052-8212

Phone

(404) 384-6368

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Anicia Bordica Cross-Robinson

Title

NP

Phone

(404) 384-6368

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705795200000",
    "number": "1891311387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 COOPER WOODS LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528212",
            "telephone_number": "404-384-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2984 COOPER WOODS LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528212",
            "telephone_number": "404-384-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONA BAILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "CROSS-ROBINSON",
        "authorized_official_first_name": "ANICIA",
        "authorized_official_middle_name": "BORDICA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "404-384-6368",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; 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.