John Baynard Baxley III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16872 Issued in GA

Practice address

2604 Peach Orchard Road
Suite 200
Augusta, GA 30906

Phone

(706) 798-4673

Fax

(706) 798-7378

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. John B Baxley III Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1730104779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 PEACH ORCHARD ROAD",
            "address_2": "SUITE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-798-4673",
            "fax_number": "706-798-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 PEACH ORCHARD ROAD",
            "address_2": "SUITE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-798-4673",
            "fax_number": "706-798-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "JOHN",
        "middle_name": "BAYNARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "8997",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "16872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089978",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "BAXLEY",
            "middle_name": "B",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Bauman, PA-C
• Miranda Desiree Baumgartner, CPHT-ADV, CSPT
• Michael Shane Baura, D.M.D
• Jose Armstrong Bauza, M.D.
• Jalynn Baxley
• Monica Lystra Bayley, RPH
• Jocelyn Kelly Bayliss, M.D.
• Erin Huey Baynham, CRNA
• Katherine Baysinger, M.D.
• BDT Anesthesia Associates PC

• Family Medicine Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.