Individual provider Active NPI

Jacqueline R Baker, PA

  • Physician Assistant
  • Cumming, GA
National Provider Identifier
1477853539
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5954 Issued in GA
Practice address
410 Peachtree Pkwy Ste 4226
Cumming, GA 30041-7439
Phone
(678) 341-9881
Fax
(678) 341-9883
NPI assigned
Oct 23, 2010
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5954 GA Primary

Addresses

Primary practice location

410 Peachtree Pkwy Ste 4226
Cumming, GA 30041-7439

Mailing address

410 Peachtree Pkwy Ste 4226
Cumming, GA 30041-7439
Phone (678) 341-9881

Other identifiers 2

IdentifierTypeStateIssuer
1699976332OtherGAGROUP NPI
4759OtherGAGROUP

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000808 GA Practitioner - Physician Assistant 3375723133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Carroll Total Healthcare,PCGroup PAC ID 7517365737, 3 clinicians

Practice addresses (Care Compare)

10945 State Bridge Rd
Suite 501
Alpharetta, GA 30022-8163
Phone (404) 996-0194

13081 Hwy 9 N
Alpharetta, GA 30004-5150
Phone (770) 521-6690

2021 Market Place Blvd
Cumming, GA 30041-7931
Phone (770) 292-9982

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2637 Peachtree Pkwy
Suwanee, GA 30024-1048
Phone (678) 660-5137

2925 Buford Dr
Apt 1110
Buford, GA 30519-5222
Phone (678) 535-0400

410 Peachtree Pkwy
Suite 4226
Cumming, GA 30041-7439
Phone (678) 341-9881

5749 Wendy Bagwell Pkwy
Hiram, GA 30141-2815
Phone (470) 523-4130

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Apr 1, 2016 Accepting new patients
Carroll Total Healthcare,PC CurrentSince Mar 1, 2026 Accepting new patients
Rivertown Medical Clinic Past Accepting new patients
Rivertown Medical Clinic PastSince Aug 1, 2013 Accepting new patients
Cherokee Emergency Services, LLC Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

410 Peachtree Pkwy
Ste 4226
Cumming, GA 30041
Phone (678) 341-9881

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1477853539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY STE 4226",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417439",
            "telephone_number": "678-341-9881",
            "fax_number": "678-341-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY STE 4226",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417439",
            "telephone_number": "678-341-9881",
            "fax_number": "678-341-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JACQUELINE",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-23",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1699976332",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "4759",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.