Active NPI
Samuel John Baptiste
- Case Manager/Care Coordinator
- Atlanta, GA
National Provider Identifier
1104493808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 220 26TH St NW Apt 6005
Atlanta, GA 30309-1926 - Phone
- (912) 346-2182
- NPI assigned
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
220 26TH St NW Apt 6005
Atlanta, GA 30309-1926
Mailing address
122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone (678) 854-6093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2021.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1104493808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 GORDON COMMERCIAL DR STE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405754",
"telephone_number": "678-854-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 26TH ST NW APT 6005",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091926",
"telephone_number": "912-346-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAPTISTE",
"first_name": "SAMUEL",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.