Renali Amparo C. Agbayani-Bautista, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

056675 Issued in GA

Practice address

2040 Dan Proctor Dr.
Suite 140
St. Marys, GA 31558

Phone

(912) 673-8000

Fax

(912) 673-8003

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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.

• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Pediatrics

  NPD (past)
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ragbaya@secure.sghsmessaging.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2026.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1336113299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR.",
            "address_2": "SUITE 140",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-673-8000",
            "fax_number": "912-673-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR.",
            "address_2": "SUITE 140",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-673-8000",
            "fax_number": "912-673-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBAYANI-BAUTISTA",
        "first_name": "RENALI",
        "middle_name": "AMPARO C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "056675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ac Optimal Health
• Alison Ackerman, RN
• Advance for Kids Inc
• Advance Rehabilitation & Consulting Limited Partnership
• Advanced Foot & Wound Center of Camden Co PC
• Albert M Thompson Jr PC
• Katrina Albertie
• Emilea Lorae Allen, DPT
• Jennifer Almanza
• Akira Alston

• All providers in St. Marys, GA
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.