NPIMap

Individual provider Active NPI

George Timothy Baxley, MD

  • Neurology Physician
  • Clemson, SC
National Provider Identifier
1023009701
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19588 Issued in SC
Practice address
220 Keowee TRL
Clemson, SC 29631-1448
Phone
(864) 653-4071
Fax
(864) 653-4074
NPI assigned
Nov 2, 2005
Last updated
Jul 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 19588 SC Primary

Addresses

Primary practice location

220 Keowee TRL
Clemson, SC 29631-1448

Mailing address

PO Box 2089
Easley, SC 29641-2089
Phone (864) 855-5104

Other identifiers 1

IdentifierTypeStateIssuer
195880MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031104000369 SC Practitioner - Neurology 3971415381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.05 of 100Reported as group
Quality
68.98
Promoting interoperability
93
Improvement activities
40
Cost
67.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19588SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince Jul 20, 2022 Accepting new patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince Jul 20, 2022 Accepting new patients
Lake Ridge Neurological Neurology PastSince Aug 1, 1999 Accepting new patients
Oconee Medical Center Past Accepting new patients
Clemson Neurology Neurology PastSince Oct 1, 2004 Accepting new patients

Locations

1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396

Interoperability endpoints

  • Direct secure messaging: george.baxley.md.1@26879.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26879/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 47

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1023009701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296412089",
            "telephone_number": "864-855-5104",
            "fax_number": "864-855-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KEOWEE TRL",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311448",
            "telephone_number": "864-653-4071",
            "fax_number": "864-653-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "GEORGE",
        "middle_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "19588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195880",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.