Active NPI
Florence O Baggs, NP
- Women's Health Nurse Practitioner
- Ludowici, GA
National Provider Identifier
1659428720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN089010
- Practice address
- 73 Coastal Manor Dr
Ludowici, GA 31316 - Phone
- (912) 369-9313
- Fax
- (912) 545-0043
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN089010 | GA | MD | Women's Health Nurse Practitioner |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN089010 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
73 Coastal Manor Dr
Ludowici, GA 31316
Mailing address
73 Coastal Manor Dr
Ludowici, GA 31316
Phone (912) 369-9313
Other practice location 1
213 N McDonald St
Suite A & B
Ludowici, GA 31316
Phone (912) 545-9398
Other practice location 2
455 S Main St Ste 104
Hinesville, GA 31313-4354
Phone (912) 545-9398
Other practice location 3
586 Islands Hwy
Midway, GA 31320-5962
Phone (912) 396-7050
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000779017H | Medicaid | GA | |
| 000779017I | Medicaid | GA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2019.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1659428720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 COASTAL MANOR DR",
"city": "LUDOWICI",
"state": "GA",
"postal_code": "31316",
"telephone_number": "912-369-9313",
"fax_number": "912-545-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 COASTAL MANOR DR",
"city": "LUDOWICI",
"state": "GA",
"postal_code": "31316",
"telephone_number": "912-369-9313",
"fax_number": "912-545-0043"
}
],
"practiceLocations": [
{
"address_1": "213 N McDonald St",
"address_2": "Suite A & B",
"address_purpose": "LOCATION",
"city": "Ludowici",
"state": "GA",
"postal_code": "31316",
"country_code": "US",
"telephone_number": "912-545-9398",
"fax_number": "912-545-2747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 S Main St Ste 104",
"address_purpose": "LOCATION",
"city": "Hinesville",
"state": "GA",
"postal_code": "313134354",
"country_code": "US",
"telephone_number": "912-545-9398",
"fax_number": "912-545-2747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "586 Islands Hwy",
"address_purpose": "LOCATION",
"city": "MIDWAY",
"state": "GA",
"postal_code": "313205962",
"country_code": "US",
"telephone_number": "912-396-7050",
"fax_number": "912-884-4197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGGS",
"first_name": "FLORENCE",
"middle_name": "O",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN089010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000779017H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000779017I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ludowici, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.