Individual provider Active NPI

Kara Baker

  • Family Nurse Practitioner
  • Pembroke, GA
National Provider Identifier
1386183879
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209364 Issued in GA
Practice address
159 West Railroad Street
Suite a
Pembroke, GA 31321-3431
Phone
(912) 653-2897
NPI assigned
Feb 16, 2017
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 RN209364 GA Primary

Addresses

Primary practice location

159 West Railroad Street
Suite a
Pembroke, GA 31321-3431

Mailing address

316 Warrenton PL
Brooklet, GA 30415-0138
Phone (912) 601-7678

Other practice location 1

604 E Long St # A
Claxton, GA 30417-5914
Phone (912) 739-7710

Other practice location 2

150 Johnny Mercer Blvd
Savannah, GA 31410-2102
Phone (912) 897-3220

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
I20170508001806 GA Practitioner - Nurse Practitioner 3870870413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJC Medical Group IncGroup PAC ID 7719978105, 57 clinicians

Practice addresses (Care Compare)

159 W Railroad St
Pembroke, GA 31321-3431
Phone (912) 653-2897

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN209364GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Memorial Hospital, Inc. Current Accepting new patients
Evans Memorial Hospital CurrentSince May 3, 2022 Accepting new patients
SJC Medical Group Inc CurrentSince Jun 30, 2023 Accepting new patients
Evans Memorial Hospital, Inc. CurrentSince May 3, 2022 Accepting new patients

Locations

200 N River St
Claxton, GA 30417
Phone (912) 739-2611

604 E Long St
#A
Claxton, GA 30417
Phone (912) 355-8000

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

Interoperability endpoints

  • Direct secure messaging: bakerkar@direct.sjchs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1386183879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WARRENTON PL",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304150138",
            "telephone_number": "912-601-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WEST RAILROAD STREET",
            "address_2": "SUITE A",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "313213431",
            "telephone_number": "912-653-2897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 E Long St # A",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304175914",
            "country_code": "US",
            "telephone_number": "912-739-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Johnny Mercer Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314102102",
            "country_code": "US",
            "telephone_number": "912-897-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, GA

Sources for this page

Verify at the official NPI Registry.