Kim T. Baird, FNP-CS

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R051587 Issued in GA

Legal business name

KIM T. BAIRD, FNP-CS

Doing business as

Woodbine Family Care Center

Practice address

308 Bedell Ave
Woodbine, GA 31569-0308

Phone

(912) 576-5999

Fax

(912) 576-5888

NPI assigned

Apr 20, 2007

Last updated

Sep 21, 2023By 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

Delores Hamilton

Title

Office Manager

Phone

(912) 576-5999

Specialties & licenses 1

Addresses

Other names 1

• WOODBINE FAMILY CARE CENTER Doing business as

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.

• Mary Lee Carter, M.D.

  • Internal Medicine Physician
  • Brunswick, GA
  • NPI 1427000165
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1750508602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "WOODBINE",
            "state": "GA",
            "postal_code": "315690307",
            "telephone_number": "912-576-5999",
            "fax_number": "912-576-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BEDELL AVE",
            "city": "WOODBINE",
            "state": "GA",
            "postal_code": "315690308",
            "telephone_number": "912-576-5999",
            "fax_number": "912-576-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM T. BAIRD, FNP-CS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-576-5999"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R051587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODBINE FAMILY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOODBINE FAMILY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gateway Behavioral Health Services (Camden Peer Support)
• Gateway Behavioral Health Services
• Rebecca Heatherly, LPN
• Carmen Hutchinson
• Beth Ann Kelley, RD, CD, CDE
• Tateanna Kozak
• Sabra L. Maddox, RPH
• Mary Lee Carter, MD-PC
• Amanda McNulty
• Jasmine Miller

• Family Nurse Practitioner in Woodbine, GA
• Providers in Woodbine, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.