Organization Active NPI

Baggett & Baggett DPM, PC

  • Podiatrist
  • Valdosta, GA
National Provider Identifier
1457508673
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P00000663 Issued in GA
Legal business name
BAGGETT & BAGGETT DPM, PC
Practice address
1801 N Lee St.
Valdosta, GA 31603-5342
Phone
(229) 560-8848
Fax
(229) 241-0870
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barton Dean Baggett, D.P.M.
Title
President/Owner
Phone
(229) 560-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X P00000663 GA Primary

Addresses

Primary practice location

1801 N Lee St.
Valdosta, GA 31603-5342

Mailing address

PO Box 5342
Valdosta, GA 31603-5342
Phone (229) 560-8848

Other identifiers 1

IdentifierTypeStateIssuer
000514522AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1457508673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5342",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316035342",
            "telephone_number": "229-560-8848",
            "fax_number": "229-241-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N LEE ST.",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316035342",
            "telephone_number": "229-560-8848",
            "fax_number": "229-241-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGGETT & BAGGETT DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "BAGGETT",
        "authorized_official_first_name": "BARTON",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "229-560-8848",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "P00000663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000514522A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.