Marie Lynn Bauch, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN230516 Issued in GA

Practice address

14557 Highway 19
Griffin, GA 30224-9582

Phone

(678) 688-1580

NPI assigned

Oct 30, 2013

Last updated

Jun 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marie Lynn Samples Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFBDAA
• Direct secure messaging: marie.bauch@cpd.eclinicaldirectplus.com
• Direct secure messaging: mary.bauch@cokerpediatrics.gadirect.net

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.

• Coker Pediatrics LLC

  • Pediatrics Physician
  • Griffin, GA
  • NPI 1871707489
  NPD

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1467880401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BAKER RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652104",
            "telephone_number": "678-416-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 HIGHWAY 19",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302249582",
            "telephone_number": "678-688-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCH",
        "first_name": "MARIE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN230516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "SAMPLES",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Minh Ngoc Ly Barnett
• Raghavendramma Barremkala, MD
• Crystal B Bartlett
• Kenneth Robert Bartlett, DC
• Kevin Batten
• Germaine Bawak Desir, DMD
• Allison Beal
• Pam Beckham, MS. ,LPC, NCC
• Alisha Bendel
• Clyde Bennett, RPH, CDE

• Family Nurse Practitioner in Griffin, GA
• Providers in Griffin, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.