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Basilio Nii Ayitey Addo

Internal Medicine

Allopathic & Osteopathic Physicians

1270 Prince Ave Ste 201, Athens, GA 30606-2789

PECOS Enrollment

This provider is enrolled in PECOS as BASILIO ADDO.

Based on the most recent information from CMS, provider Basilio Nii Ayitey Addo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1124515838
Provider Type
Individual
Full Name
Addo, Basilio Nii Ayitey
Title
Mr.
Credential
M.D

Gender
Male
Sole Proprietor
No
Enumeration Date
4/18/2018
Last Updated
7/15/2021

Contact Information

Practice Location

1270 Prince Ave Ste 201, Athens, GA 30606-2789

(706) 475-7055

Unlisted Fax

Mailing Location

PO Box 117264, Atlanta, GA 30368-7264

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 88806 Georgia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 88806 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Basilio Nii Ayitey Addo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Baosman, Abdullah A

Shillinger, Mallory

Walters, Keith Nesta

Shah, Krishna V

Jarrard, Mary Bess

Onweni-Eze, Maureen Ugochi

Primedoc Of Athens Inc

Athens Area Internal Medicine

G. Steven Chesser Md Pc

Bashir, Muhammad H