Dodi Lynn Baum, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

207366 Issued in SC

Practice address

9267 Medical Plaza Dr Ste G
North Charleston, SC 29406-9139

Phone

(843) 797-3636

NPI assigned

Aug 12, 2016

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Cincinnati College of Medicine and Surgery, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trident Pain Center LLCGroup PAC ID 7911897269, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIFCAA/Endpoint/IIFCAA

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.

• Trident Pain Center LLC

  • Interventional Pain Medicine Physician
  • N Charleston, SC
  • NPI 1801992961
  Medicare reassignment Care Compare group NPD
• Trident Pain Center LLC

  • Pain Medicine Physician
  • West Columbia, SC
  • NPI 1659915445
  NPD

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1053865576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR STE G",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR STE G",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 McSwain Dr",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694825",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 Charlie Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145837",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 N Highway 52",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613910",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Eddie Chasteen Dr",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294885728",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUM",
        "first_name": "DODI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20330",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "207366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Bates
• Steven Russell Bates, D.M.D.
• Caitlin A Batten, DPT
• Christopher Thomas Battista, MD
• Rebecca Baughan, PT, DPT
• Jeffrey B Bayme, DMD,LLC
• Beacon of Life SC LLC (BoldAge PACE SC Tri-County Area)
• James C Beall, DDS
• Brywn McMahan Bealor, FNP
• Karen Leigh Beatson, RPH

• Family Nurse Practitioner in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.

Verify at the official NPI Registry.