Active NPI
Tamarkus Baker
- Behavior Technician
- Martinez, GA
National Provider Identifier
1124585997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3830 Washington Rd
Martinez, GA 30907-5064 - Phone
- (762) 222-7629
- Fax
- (615) 815-1946
- NPI assigned
- Feb 27, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3830 Washington Rd
Martinez, GA 30907-5064
Mailing address
1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone (615) 577-5694
Other practice location 1
3830 Washington Rd
Augusta, GA 30907-5064
Phone (404) 480-3842
Other practice location 2
3830 Washington Rd
Martinez, GA 30907-5064
Phone (762) 222-7629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1124585997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 MURFREESBORO PIKE STE 702",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372172679",
"telephone_number": "615-577-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 WASHINGTON RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309075064",
"telephone_number": "762-222-7629",
"fax_number": "615-815-1946"
}
],
"practiceLocations": [
{
"address_1": "3830 Washington Rd",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309075064",
"country_code": "US",
"telephone_number": "404-480-3842",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3830 Washington Rd",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "GA",
"postal_code": "309075064",
"country_code": "US",
"telephone_number": "762-222-7629",
"fax_number": "615-815-1946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "TAMARKUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-27",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.