Bainbridge Medical Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BAINBRIDGE MEDICAL ASSOCIATES, PC

Practice address

1518 Miluli Ave
Bainbridge, GA 39819-4866

Phone

(229) 248-8500

Fax

(229) 248-8600

NPI assigned

Nov 28, 2007

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon Mallory McRae, M.D.NPI 1700890274

Title

Physician

Phone

(229) 248-8580

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5086/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Mallory McRae Jr., M.D.

  • Internal Medicine Physician
  • Bainbridge, GA
  • NPI 1700890274
  Authorized official Same address or phone
• Paul J. Bennett, M.D.

  • Hospitalist Physician
  • Lynchburg, VA
  • NPI 1851305569

  Specialist

  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1174705495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MILULI AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194866",
            "telephone_number": "229-248-8500",
            "fax_number": "229-248-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MILULI AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194866",
            "telephone_number": "229-248-8500",
            "fax_number": "229-248-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MALLORY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-248-8580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Lynne Avery, BCBA
• Bainbridge Eye Care, LLC
• Bainbridge Healthcare, LLC (Bainbridge HealthCare)
• Bainbridge Home Medical, LLC
• Bainbridge Landing of Journey LLC
• Bainbridge Operator LLC (Bainbridge Health and Rehab)
• Bainbridge Pharmacy Inc.
• Bainbridge Pharmacy Inc.
• Bainbridge Vision Clinic Inc
• Ladonna M Bass

• Specialist in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.