Nathan W Baldwin MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15031 Issued in MS

Legal business name

NATHAN W BALDWIN MD PA

Practice address

100 Hospital St
Suite 100
Booneville, MS 38829-3354

Phone

(662) 820-1600

Fax

(662) 720-1664

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Nathan Ward Baldwin, MDNPI 1235279688

Title

Physician

Phone

(662) 720-1600

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Ward Baldwin, MD

  • Internal Medicine Physician
  • Booneville, MS
  • NPI 1235279688
  Medicare reassignment NPD Authorized official
• Jason Lloyd Martin, FNP-C

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1245738244
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1003956459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST STE 100",
            "address_2": "P. O. BOX 70",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-720-1600",
            "fax_number": "662-720-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "address_2": "SUITE 100",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-820-1600",
            "fax_number": "662-720-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN W BALDWIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-720-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15031",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "15031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015455",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mockingbird Assisted Living, LLC
• Rebekah Abigail Moss, NP
• MSK Group, PC
• Amanda Mullins
• Kathryn Gann Murff, MS
• Carol Sue Nichols, MA
• North Miss Ambulance Service Inc
• North Mississippi Medical Center
• North Mississippi Medical Clinics Inc
• North Mississippi Primary Health Care, Inc.

• Internal Medicine Physician in Booneville, MS
• Providers in Booneville, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.