Active NPI
Nidsa Doris Baker, ANP-BC
- Adult Health Nurse Practitioner
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN175998
- Practice address
- 4425 Paulsen St
Savannah, GA 31405-3662 - Phone
- (912) 355-6615
- Fax
- (912) 351-0645
- NPI assigned
- Jul 25, 2012
- Last updated
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN175998 | GA | Primary |
Addresses
Primary practice location
4425 Paulsen St
Savannah, GA 31405-3662
Mailing address
4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615
Other practice location 1
613 Towne Park Dr W Ste 303-304
Rincon, GA 31326-5182
Phone (912) 355-6615
Other practice location 2
1203 Gandy Dancer
Richmond Hill, GA 31324-8895
Phone (912) 355-6615
Other practice location 3
101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9579
Phone (912) 355-6615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
239 Arrowhead Blvd
Jonesboro, GA 30236-1101
Phone (248) 528-2116
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Quality
- 69.52
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN175998 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Effingham Orthopedic Practice, LLC | Current | Accepting new patients | |
| Qofl Services LLC | Current | Accepting new patients |
Locations
2455 Oak Grove Church Rd
Carrollton, GA 30117
Phone (770) 834-1737
1005 Virginia Ave
Ste 200
Hapeville, GA 30354
Phone (404) 763-3955
239 Arrowhead Blvd
Jonesboro, GA 30236
Phone (404) 312-0496
1000 Towne Center Blvd
Ste 602
Pooler, GA 31322
Phone (912) 228-3502
613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111
613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111
809 S Broad St SW
Rome, GA 30161
Phone (706) 235-1337
1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
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.
-
- Nurse Practitioner
- Louisville, KY
- NPI 1942554837
-
dba Effingham Orthopaedic Center
- Orthopaedic Surgery Physician
- Rincon, GA
- NPI 1013459551
-
- Nurse Practitioner
- Columbia, MD
- NPI 1013348028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1518213792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 PAULSEN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053662",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 PAULSEN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053662",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645"
}
],
"practiceLocations": [
{
"address_1": "613 Towne Park Dr W Ste 303-304",
"address_purpose": "LOCATION",
"city": "Rincon",
"state": "GA",
"postal_code": "313265182",
"country_code": "US",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1203 Gandy Dancer",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "313248895",
"country_code": "US",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 St Josephs Candler Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313229579",
"country_code": "US",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "NIDSA",
"middle_name": "DORIS",
"name_prefix": "Mrs.",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN175998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.