Active NPI
Ji Yoon Baek, M.D.
- Anesthesiology Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 90831
- Practice address
- 1412 Milstead Ave NE
Conyers, GA 30012-3877 - Phone
- (770) 388-7745
- NPI assigned
- Apr 6, 2017
- Last updated
- Jul 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 90831 | GA | Primary |
Addresses
Primary practice location
1412 Milstead Ave NE
Conyers, GA 30012-3877
Mailing address
1412 Milstead Ave NE
Conyers, GA 30012-3877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1612 Milstead Rd NE
Suite B
Conyers, GA 30012-3738
Phone (770) 388-7745
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90831 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Rockdale Anesthesia Services, P.C. | Anesthesiology | Current | Accepting new patients |
| Piedmont Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Emory Health Care | Past | Accepting new patients |
Locations
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
3200 Downwood Cir NW
Atlanta, GA 30327
Phone (404) 351-0051
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1612 Milstead Rd NE
#B
Conyers, GA 30012
Phone (770) 388-7745
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880
7813 Spivey Station Blvd
Jonesboro, GA 30236
Phone (404) 251-2270
1805 W Point Rd
Lagrange, GA 30240
Phone (706) 812-9902
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
1455 Montreal Rd
Tucker, GA 30084
Phone (404) 251-3000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Conyers, GA
- NPI 1619028396
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Johns Creek Hospital
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1750814810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-388-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEK",
"first_name": "JI YOON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "90831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.