Organization Active NPI

Baldwin Medical Center

  • Internal Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1164589545
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BALDWIN MEDICAL CENTER
Practice address
644 N Cobb St
Milledgeville, GA 31061-2348
Phone
(478) 452-3700
Fax
(478) 452-3722
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Saqib Nazir, M.D.NPI 1649339508
Title
Owner
Phone
(478) 452-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X GA Primary

Addresses

Primary practice location

644 N Cobb St
Milledgeville, GA 31061-2348

Mailing address

644 N Cobb St
Milledgeville, GA 31061-2348
Phone (478) 452-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130215000212 GA Part B Supplier - Clinic/Group Practice 4981858198 Receives reassigned benefits from 1 practitioner
Practice locations: Milledgeville, GA

National Provider Directory

National Provider Directory

Locations

644 N Cobb St
Milledgeville, GA 31061
Phone (478) 452-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1164589545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612348",
            "telephone_number": "478-452-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612348",
            "telephone_number": "478-452-3700",
            "fax_number": "478-452-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "NAZIR",
        "authorized_official_first_name": "SAQIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-452-3700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.