Individual provider Active NPI

Constance Baldwin, MD

  • Pediatric Endocrinology Physician
  • Atlanta, GA
National Provider Identifier
1467532523
Registry record updated Mar 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
059597 Issued in GA
Practice address
5445 Meridian Mark Rd Ste 400
Atlanta, GA 30342-4794
Phone
(404) 785-5437
Fax
(404) 785-9022
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 059597 GA Primary

Addresses

Primary practice location

5445 Meridian Mark Rd Ste 400
Atlanta, GA 30342-4794

Mailing address

5445 Meridian Mark Rd Ste 400
Atlanta, GA 30342-4794
Phone (404) 785-5437

Other practice location 1

1100 Lake Hearn Dr NE Ste 350
Atlanta, GA 30342-1551
Phone (404) 255-0015

Other identifiers 1

IdentifierTypeStateIssuer
754666400AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720002935 GA Order and Referring Only - EndocrinologyPractitioner - Endocrinology 1456608413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
059597GAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choa Multispecialty, LLC Pediatric Endocrinology Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Scottish Rite Children's Medical Center Past Accepting new patients
Children's Hospital Los Angeles Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cbaldwin16495@choa.gadirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1467532523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424794",
            "telephone_number": "404-785-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424794",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Lake Hearn Dr NE Ste 350",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421551",
            "country_code": "US",
            "telephone_number": "404-255-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CONSTANCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "GA",
            "license": "059597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754666400A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.