Johnathan C Baines, MD
Individual provider Active NPI Family Medicine Physician · Ruston, LA
NPI 1679769889 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1679769889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD.203777 (LA)
- Practice address
- 310 W Mississippi Ave
Ruston, LA 71270-4202 - Phone
- (318) 399-7130
- Fax
- (318) 399-7139
- NPI assigned
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1200 S Farmerville St
Ruston, LA 71270-5941
Hospital & facility affiliations
- Elara Caring
- Elara Caring
- Allegiance Home Health of Northeast la
- Magnolia Home Health Care, Inc
- Northern Louisiana Medical Center
- Willis Knighton Medical Center
- Jackson Parish Hospital
- Glenwood Regional Medical Center
- Forest Haven Nursing & Rehab Ctr, LLC
- Alpine Skilled Nursing and Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 60.04
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100625000112 | LA | Practitioner - Family Practice | 5193856755 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.203777 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Clinic LLC | Current |
Accepting new patients | |
| Green Clinic LLC | Family Medicine | Current |
Accepting new patients |
| WK Primary Care Ruston | Family Medicine | Current |
Accepting new patients |
| CLHG-Ruston LLC | Family Medicine | Current |
Accepting new patients |
| CLHG-Ruston LLC | Family Medicine | Current |
Accepting new patients |
| Forest Haven Nursing & Rehabilitation Center, LLC | Past | Accepting new patients | |
| Professional Hospice Care, L.L.C. | Family Medicine | Past | Accepting new patients |
Locations
3030 Highway 80 W
Calhoun, LA 71225
Phone (318) 644-2940
1809 Northpointe Ln
Ste 102
Ruston, LA 71270
Phone (318) 255-3762
411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103
310 W Mississippi Ave
Ruston, LA 71270
Phone (318) 399-7130
1420 Commerce St
#1
Ruston, LA 71270
Interoperability endpoints
- johnathan.baines.1@26990.direct.athenahealth.com
- johnathan.baines@gcmc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.203777 | LA | Yes |
Addresses
Primary practice location
310 W Mississippi Ave
Ruston, LA 71270-4202
Mailing address
PO Box 829
Ruston, LA 71273-0829
Phone (318) 399-7130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP10028371 | Other | TX | BASIC PERMIT |
Other providers in Ruston, LA
- Avalon Counseling, LLC
- B & K Supply Inc
- B&C Archery LLC
- Lee Ester Babers
- Maria Bahena
- Sylvester Baisden
- Angeline Pettit Baker
- Antonio Baker
- Dianna Baker
- Megan Danielle Baker
All providers in Ruston, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.