Individual provider · Type 1 NPI

Olivia Rae Basile, PA-C

Physician Assistant · Johns Creek, GA

NPI number 1609652494 Active

Practice location

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

Call (678) 208-0165 Map

Fax (888) 814-0852

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13365 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609652494

Olivia Rae Basile, PA-C's National Provider Identifier is 1609652494, issued on Sep 6, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johns Creek, GA. The record was last updated on Dec 8, 2025.