Brent A Baker, M.D.
Individual provider Active NPI Family Medicine Physician · Jefferson City, TN
NPI 1003270968 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1003270968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 56571 (TN)
- Practice address
- 380 W Broadway Blvd Ste 130
Jefferson City, TN 37760-2602 - Phone
- (865) 475-4742
- NPI assigned
- Apr 7, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- East Tennessee State University Quillen College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summit Medical Group, PLLC
Practice addresses (Care Compare)
380 W Broadway Blvd
Jefferson City, TN 37760-5279
Phone (865) 475-4742
Hospital & facility affiliations
- Amedisys Home Health Care
- Smoky Mountain Home Health and Hospice, Inc
- University of TN Medical Center Home Health Serv
- Morristown Hamblen Hospital Association
- Tennova Healthcare-Jefferson Memorial Hospital
- University Health System, Inc
- Fort Sanders Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180518002346 | TN | Practitioner - Family Practice | 3971868076 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56571 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Family Medicine | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Family Medicine | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Family Medicine | Past |
Accepting new patients |
Locations
380 W Broadway Blvd
Jefferson City, TN 37760
Phone (865) 450-9361
380 W Broadway Blvd
Ste 130
Jefferson City, TN 37760
Phone (865) 475-4742
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
444 Clinchfield St
Ste 2800
Kingsport, TN 37660
Phone (423) 230-2801
444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909
Interoperability endpoints
- brent.baker.1@20785.direct.athenahealth.com
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 56571 | TN | Yes |
Addresses
Primary practice location
380 W Broadway Blvd Ste 130
Jefferson City, TN 37760-2602
Mailing address
1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Other providers in Jefferson City, TN
- Apria Healthcare LLC
- Cherie Renee Archambeault
- Karly Atchley
- Brenda Badawi
- Richard Baird
- Baptist Primary & Senior Healthcare Clinic Jefferson City
- Paris Bath
- David M Beauchamp
- Bruce A. Bell
- Tammy Bello
All providers in Jefferson City, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.