The Baxter Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

027963 Issued in GA

Legal business name

THE BAXTER CLINIC

Practice address

5914 Love St
Austell, GA 30168-4033

Phone

(770) 739-9971

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Ingram Baxter

Title

Office Manager

Phone

(770) 739-9971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164569158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 LOVE ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684033",
            "telephone_number": "770-739-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 LOVE ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684033",
            "telephone_number": "770-739-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAXTER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "INGRAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-739-9971",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "027963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Austell, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.