Jody Milford Baham, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Pooler, GA
NPI 1699545822 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1699545822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN287159 (GA)
- Practice address
- 138 Canal St Ste 201
Pooler, GA 31322-4047 - Phone
- (912) 348-3383
- Fax
- (912) 348-2669
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN287159 | GA | MD | Addiction Medicine (Family Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN287159 | GA | Yes |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | RN287159 | GA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | RN287159 | GA | |
| Pain Clinic/Center | 261QP3300X | RN287159 | GA |
Addresses
Primary practice location
138 Canal St Ste 201
Pooler, GA 31322-4047
Mailing address
413 Gravel Way
Bloomingdale, GA 31302-8120
Phone (706) 599-7174
Other providers in Pooler, GA
- Rhanita C Austin
- Alessandra Noelle Avena
- Carol Ann Avera
- David Babbs
- Sharonda Bacon
- Roger Aristotle Bailey
- Ma'Kayla Baldwin
- Alexander Bannout
- Bare Bones Medical LLC
- Taylor Louise Bargeloh
All providers in Pooler, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.