Individual provider Active NPI

Katherine Marie Baron

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1164190146
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN305685 Issued in GA
Practice address
140 Vann St NE Ste 340
Marietta, GA 30060-7297
Phone
(770) 419-0020
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN305685 GA Primary

Addresses

Primary practice location

140 Vann St NE Ste 340
Marietta, GA 30060-7297

Mailing address

2813 Addison LN
Alpharetta, GA 30005-5051
Phone (570) 947-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20230613002736 GA Practitioner - Nurse Practitioner 2860859444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN305685GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Family Practice, P.C. CurrentSince Mar 1, 2023 Accepting new patients
Wellbe Senior Medical Group of Georgia, P. C. CurrentSince Jul 10, 2023 Accepting new patients
Douglas County Family Practice, P.C. PastSince Mar 1, 2023 Accepting new patients

Locations

3872 Highway 5
Douglasville, GA 30135
Phone (770) 949-5534

140 Vann St NE
Ste 340
Marietta, GA 30060
Phone (404) 423-0595

5 Concourse Pkwy
Ste 3100
Sandy Springs, GA 30328
Phone (855) 492-7642

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1164190146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 ADDISON LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055051",
            "telephone_number": "570-947-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 VANN ST NE STE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607297",
            "telephone_number": "770-419-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN305685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.