Active NPI
Jeffrey L. Baggett, PHARMACIST
- Pharmacist
- Calhoun, GA
National Provider Identifier
1447574827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11150
- Practice address
- 122 WC Bryant Pkwy
Calhoun, GA 30701-2624 - Phone
- (706) 625-0600
- NPI assigned
- Mar 15, 2010
- Last updated
- Mar 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11150 | GA | Primary |
Addresses
Primary practice location
122 WC Bryant Pkwy
Calhoun, GA 30701-2624
Mailing address
107 Crystal River CT
Calhoun, GA 30701-5403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11150 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1447574827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CRYSTAL RIVER CT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307015403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 WC BRYANT PKWY",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307012624",
"telephone_number": "706-625-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGGETT",
"first_name": "JEFFREY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "11150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.