Baliga Family Practice PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

056683 Issued in GA

Legal business name

BALIGA FAMILY PRACTICE PC

Practice address

1400 Bradley Lake Blvd
Columbus, GA 31904-3688

Phone

(706) 593-7417

Fax

(706) 507-2059

NPI assigned

May 17, 2007

Last updated

Sep 13, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bantwal P Baliga, M.DNPI 1730272584

Title

Physician

Phone

(706) 507-2050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFGICD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bantwal Prathibha Baliga, MD,DGO

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1730272584
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1700094562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRADLEY LAKE BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043688",
            "telephone_number": "706-507-2050",
            "fax_number": "706-507-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRADLEY LAKE BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043688",
            "telephone_number": "706-593-7417",
            "fax_number": "706-507-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALIGA FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "BALIGA",
        "authorized_official_first_name": "BANTWAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-507-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "056683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Balciunas, PT, DPT
• Benjamin Baldwin, MSN, FNP-BC
• Monterica Baldwin
• Shenett Baldwin, RBT
• Alexis Bales
• Bantwal Prathibha Baliga, MD,DGO
• Michael Warren Balkcum, P.T.
• Lorrie Ball, NP
• Steve Ballesteros
• Saeed Aasim Baloch, MD

• Primary Care Clinic/Center in Columbus, GA
• Providers in Columbus, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.