Active NPI
Baxter Dixon Tharin, M.D.
- Diagnostic Radiology Physician
- Fort Stewart, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME135337
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314-5641 - Phone
- (912) 435-5770
- NPI assigned
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME135337 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | DR.0054157 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 0101246167 | VA |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-5770
Other practice location 1
5955 Zeamer Ave
Jber, AK 99506-3702
Phone (907) 580-3205
Other practice location 2
9582 W Colonial Dr
Lee B Cecil
Ocoee, FL 34761
Phone (407) 896-3055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 Buckland Hall Rd
Richmond Hill, GA 31324-5325
Phone (850) 689-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0054157 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| South Georgia Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
777 Bannock St
Denver, CO 80204
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
160 Twin Springs Way
Defuniak Springs, FL 32435
Phone (850) 389-6955
163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847
116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440
Networks
- Freedom Health HMO Network
Interoperability endpoints
- btharin251229@direct.dhha.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1760669931
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1861783961
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Milton, FL
- NPI 1528015302
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1013177120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-5770"
}
],
"practiceLocations": [
{
"address_1": "5955 Zeamer Ave",
"address_purpose": "LOCATION",
"city": "Jber",
"state": "AK",
"postal_code": "995063702",
"country_code": "US",
"telephone_number": "907-580-3205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9582 W Colonial Dr",
"address_2": "Lee B Cecil",
"address_purpose": "LOCATION",
"city": "Ocoee",
"state": "FL",
"postal_code": "34761",
"country_code": "US",
"telephone_number": "407-896-3055",
"fax_number": "407-826-1103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THARIN",
"first_name": "BAXTER",
"middle_name": "DIXON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME135337",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0054157",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101246167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.