Individual provider Active NPI

Angela Marie Baisden-Powell, FNP-C

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1265280820
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05240180 Issued in GA
Practice address
360 Madison Grace Ave
McDonough, GA 30252-3142
Phone
(229) 942-4442
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 F05240180 GA Primary

Addresses

Primary practice location

360 Madison Grace Ave
McDonough, GA 30252-3142

Mailing address

360 Madison Grace Ave
McDonough, GA 30252-3142
Phone (229) 942-4442

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
I20250626003750 GA Practitioner - Nurse Practitioner 2264944164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05240180GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Health Care LLC CurrentSince Apr 17, 2025 Accepting new patients

Locations

682 S 8th St
Griffin, GA 30224
Phone (678) 356-6376

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJJDD/Endpoint/ABJJDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1265280820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MADISON GRACE AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523142",
            "telephone_number": "229-942-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MADISON GRACE AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523142",
            "telephone_number": "229-942-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAISDEN-POWELL",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F05240180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.