Individual provider Active NPI

Tracey L Baker, FNP

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1508071515
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN097754 Issued in GA
Practice address
747 S Hill St
Griffin, GA 30224-4830
Phone
(770) 228-5407
Fax
(770) 228-5408
NPI assigned
May 12, 2007
Last updated
Nov 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN097754 GA Primary
Family Medicine Physician 207Q00000X RN097754 GA

Addresses

Primary practice location

747 S Hill St
Griffin, GA 30224-4830

Mailing address

202 Larcom LN
Griffin, GA 30224-4905
Phone (404) 557-2604

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
I20190625000409 GA Practitioner - Nurse Practitioner 1052645108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

726 S 8TH St
Griffin, GA 30224-4827
Phone (770) 228-5407

747 S Hill St
Griffin, GA 30224-4830
Phone (770) 228-5407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Nov 28, 2023 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Nov 28, 2023 Accepting new patients
Coker Pediatrics LLC Current Accepting new patients

Locations

522 Greenwood St
Barnesville, GA 30204
Phone (770) 872-3663

522 Greenwood St
Ste A
Barnesville, GA 30204
Phone (770) 872-3663

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

747 S Hill St
Griffin, GA 30224
Phone (770) 228-5407

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBDAA
  • Direct secure messaging: tracey.baker.1@8042.direct.athenahealth.com
  • Direct secure messaging: tracey.baker@cokerpediatrics.gadirect.net

Organizations & group practices 3

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": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1508071515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LARCOM LN",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244905",
            "telephone_number": "404-557-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S HILL ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244830",
            "telephone_number": "770-228-5407",
            "fax_number": "770-228-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TRACEY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-12",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN097754",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN097754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.