Bethany Joy Baldwin, NP
Individual provider Active NPI Family Nurse Practitioner · Dublin, GA
NPI 1124858535 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1124858535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN250655 (GA)
- Practice address
- 1826 Veterans Blvd
Dublin, GA 31021-3620 - Phone
- (478) 272-1210
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2400 Bellevue Rd
Suite 26
Dublin, GA 31021-2845
319 Regency Cir
Dublin, GA 31021-4315
Hospital & facility affiliations
- Fairview Park Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260403001575 | GA | Practitioner - Nurse Practitioner | 7719462076 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN250655 | GA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN250655 | GA | Yes |
Addresses
Primary practice location
1826 Veterans Blvd
Dublin, GA 31021-3620
Mailing address
781 Taylor Grocery Rd
Cadwell, GA 31009-3341
Phone (678) 469-4813
Other names
- Bethany Joy Abresch
Other providers in Dublin, GA
- Sandra Dee Bailes
- Buffy M Bailey
- Robert Cole Bailey
- Cena Baker
- Veronica Baker
- Michael H Baldwin
- Henry C Ballance
- Nikolay Bangiyev
- Shequrrior Banks
- Charlotte Lucile Barber
All providers in Dublin, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.