Charissa Faith Baker, N.P.
Individual provider Active NPI Family Nurse Practitioner · Cartersville, GA
NPI 1265944094 · NPPES record last updated Nov 2, 2017
Key facts
- NPI
- 1265944094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN197233 (GA)
- Practice address
- 960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129 - Phone
- (678) 905-7053
- Fax
- (678) 905-7053
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Radiology Services P C
Practice addresses (Care Compare)
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (770) 382-1530
Hospital & facility affiliations
- Piedmont Mountainside Hospital Inc
- Piedmont Cartersville Medical Center
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190925000571 | GA | Practitioner - Nurse Practitioner | 9931439544 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Radiology Services P C | Current |
Accepting new patients |
Locations
10 Bowen Ct
Cartersville, GA 30120
Phone (678) 905-7053
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN197233 | GA | Yes |
Addresses
Primary practice location
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Mailing address
10 Bowen CT
Cartersville, GA 30120-2494
Phone (678) 905-7053
Other providers in Cartersville, GA
- B&M Medical Services LLC
- B2L Chiro, LLC
- Back 2 Life Wellness Studios of Cartersville, LLC
- Omer Saleem Baig
- Brooke Bailey
- Corinne E Baker
- Balanced Body Chiropractic & Rehabilitation
- Caitlin Noelani Balawender
- John Baldes
- Julie Suzanne Ballast
All providers in Cartersville, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.