Active NPI
Dingane Baruti, M.D
- Family Medicine Physician
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 055411
- Practice address
- 6842 Douglas Blvd Ste K
Douglasville, GA 30135 - Phone
- (404) 937-3508
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 055411 | GA | Primary |
Addresses
Primary practice location
6842 Douglas Blvd Ste K
Douglasville, GA 30135
Mailing address
6842 Douglas Blvd Ste K
Douglasville, GA 30135-1576
Phone (404) 937-3508
Other practice location 1
406 W 5th St
Ocilla, GA 31774-1421
Phone (229) 468-9166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003132308A | Medicaid | GA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Griffin Ave
Eastman, GA 31023-6720
Phone (478) 448-4000
Hospital & facility affiliations
- Dodge County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055411 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Online Doctor'S Visit LLC | Family Medicine | Current | Accepting new patients |
| Southland Dodge Emergency Medical Services, LLC | Current | Accepting new patients | |
| Southland Consolidated Emergency Services, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Jorge a. Bueno Chiropractic LLC | Past | Accepting new patients |
Locations
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Eastman, GA
- NPI 1851958607
-
- Emergency Medicine Physician
- Elberton, GA
- NPI 1174917124
-
- Family Medicine Physician
- Douglasville, GA
- NPI 1205410032
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Nutrition Chiropractor
- Acworth, GA
- NPI 1962679340
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Eastman, GA
- NPI 1740272095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1215945969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6842 DOUGLAS BLVD STE K",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351576",
"telephone_number": "404-937-3508",
"fax_number": "404-973-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6842 DOUGLAS BLVD STE K",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30135",
"telephone_number": "404-937-3508"
}
],
"practiceLocations": [
{
"address_1": "406 W 5th St",
"address_purpose": "LOCATION",
"city": "Ocilla",
"state": "GA",
"postal_code": "317741421",
"country_code": "US",
"telephone_number": "229-468-9166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARUTI",
"first_name": "DINGANE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "055411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003132308A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.