CHERYL A. BASDEN DO – NPI #1427175462
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CHERYL BASDEN is a physician located in DULUTH, GA. NPPES has assigned the NPI number 1427175462 to CHERYL BASDEN on March 23, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name CHERYL WILLIAMSON BASDEN. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Feb 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHERYL BASDEN below.

NPI Profile for
CHERYL A. BASDEN

NPI Number
1427175462
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CHERYL A. BASDEN
Other Name: CHERYL WILLIAMSON BASDEN
Credentials
DO
Primary location
3650 STEVE REYNOLDS BLVD
KAISER PERMANENTE GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA 30096
Phone: (770) 931-6012 Fax: (678) 490-0349
Mailing address
3495 PIEDMONT ROAD, NE
NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone: (404) 504-5678 Fax: (678) 490-0349
Sole Proprietor
No
Updated
Certification Date
Feb 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHERYL BASDEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000485548J
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
GA 030951

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
5440 HILLANDALE DR,
LITHONIA, GA 77025-1669