Stephen Paul Baffic, PA-C
Individual provider Active NPI Physician Assistant · Atlanta, GA
NPI 1023080322 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023080322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 004423 (GA)
- Practice address
- 1745 Phoenix Blvd
Two Crown Center, Suite 100
Atlanta, GA 30349-5591 - Phone
- (770) 994-9326
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004423 | GA | Yes |
Addresses
Primary practice location
1745 Phoenix Blvd
Two Crown Center, Suite 100
Atlanta, GA 30349-5591
Mailing address
918 Carolinus CT
McDonough, GA 30253-8008
Phone (770) 389-1865
Other providers in Atlanta, GA
- Madison Elizabeth Baessler I
- Robert G Baeten II
- Eduardo A Baetti
- Laura Baeumel
- Maria Rose Baez
- Shannon Busby Bagga
- Margaret Scheuerman Baggett
- Mary Caitlin Baggett
- Olivia Baggett
- Adel Bagh
All providers in Atlanta, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.