Fredrick Mark Baker, D.C.
Individual provider Active NPI Chiropractor · Blairsville, GA
NPI 1376655472 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376655472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHR003082 (GA)
- Practice address
- 561 Deep South Farm Rd
Suite 1
Blairsville, GA 30512-2220 - Phone
- (706) 745-5551
- Fax
- (706) 781-1024
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
97 Deep S Farm Rd
Suite 1
Blairsville, GA 30512-2298
Phone (706) 745-5551
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040112000059 | GA | Practitioner - Chiropractic | 0345149274 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR003082 | GA | MD | Chiropractor |
| 003082 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Baker, Inc. | Chiropractor | Current |
Accepting new patients |
Locations
97 Deep South Farm Rd
Ste 1
Blairsville, GA 30512
Phone (706) 745-5551
736 Pat Haralson Dr
Ste C
Blairsville, GA 30512
Phone (706) 745-5551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR003082 | GA | Yes |
Addresses
Primary practice location
561 Deep South Farm Rd
Suite 1
Blairsville, GA 30512-2220
Mailing address
561 Deep South Farm Rd
Suite 1
Blairsville, GA 30512-2220
Phone (706) 745-5551
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.
- 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.