Individual provider Active NPI

Nathan Samuel Baughn, LCSW

  • Social Worker
  • Mobile, AL
National Provider Identifier
1720249261
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1245-2110C Issued in AL
Practice address
3737 Government Blvd Ste 203
Mobile, AL 36693-4310
Phone
(251) 300-7134
Fax
(251) 202-7851
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1245-2110C AL Primary

Addresses

Primary practice location

3737 Government Blvd Ste 203
Mobile, AL 36693-4310

Mailing address

3737 Government Blvd Ste 203
Mobile, AL 36693-4310
Phone (251) 300-7134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130913000185 AL Practitioner - Clinical Social Worker 8123262169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Psychiatry Associates LLCGroup PAC ID 5294022174, 13 clinicians

Practice addresses (Care Compare)

3737 Government Blvd
Suite 203
Mobile, AL 36693-4310
Phone (251) 300-7134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1245-2110CALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Psychiatry Associates LLC CurrentSince Jun 17, 2017 Accepting new patients

Locations

3737 Government Blvd
Ste 203
Mobile, AL 36693
Phone (251) 300-7134

3737 Government Blvd
Ste 404
Mobile, AL 36693
Phone (251) 300-7134

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1720249261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 GOVERNMENT BLVD STE 203",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934310",
            "telephone_number": "251-300-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 GOVERNMENT BLVD STE 203",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934310",
            "telephone_number": "251-300-7134",
            "fax_number": "251-202-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHN",
        "first_name": "NATHAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "1245-2110C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.