Individual provider Active NPI

Florence O Baggs, NP

  • Women's Health Nurse Practitioner
  • Ludowici, GA
National Provider Identifier
1659428720
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN089010 Issued in GA
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

LicenseStateTypeSpecialty
RN089010GAMDWomen's Health Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN089010 GA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
000779017HMedicaidGA
000779017IMedicaidGA

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.

Verify at the official NPI Registry.