Charles Baker, PHYSICIAN ASSISTANCE

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003660 Issued in GA

Practice address

334 Smith Ave
Thomasville, GA 31792-5533

Phone

(229) 227-1595

Fax

(229) 227-1385

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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.

• Archbold Medical Group, Inc.

  • Surgery Physician
  • Thomasville, GA
  • NPI 1831353036
  NPD (past)
• Complete Care & Pain Management Institute,LLC

  • Health Maintenance Organization
  • Macon, GA
  • NPI 1356384721
  NPD (past)
• Nephrology Medical Associates of Georgia, LLC

  • Nephrology Physician
  • Fredericksburg, VA
  • NPI 1114344926
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

• Charles J Baker Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2018.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1477597946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925533",
            "telephone_number": "229-227-1595",
            "fax_number": "229-227-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925533",
            "telephone_number": "229-227-1595",
            "fax_number": "229-227-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CHARLES",
        "credential": "PHYSICIAN ASSISTANCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001820P",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "BAKER",
            "middle_name": "J",
            "credential": "PHYSICIAN ASSISTANCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel James Badger, RN
• Sarah Baggett
• Grover L. Bailey, PHD
• Michael Scott Bailey, LMSW
• Benjamin Barroga Bailon, M.D.
• Marjorie Pomeroy Baker, PT, DPT
• Megan Baldwin, LMSW
• Melanie Jai Balfour, ARNP
• Prashant Baliga, M.D.
• William Abner Ball, D.C.

• All providers in Thomasville, GA
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.