Caroline Tate Baldwyn, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

00532 Issued in MS

Practice address

1607 Doctors Dr
Madison, MS 39110-7345

Phone

(769) 300-2100

NPI assigned

Feb 12, 2021

Last updated

Feb 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Madison Medical Rheumatology LLCGroup PAC ID 4880918705, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
• North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Madison Medical Rheumatology, LLC

  • Rheumatology Physician
  • Madison, MS
  • NPI 1649686395
  Medicare reassignment Care Compare group
• Madison Medical Dermatology LLC

  • Dermatology Physician
  • Madison, MS
  • NPI 1831506187
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation
• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Care Compare affiliation

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1760075535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 DOCTORS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107345",
            "telephone_number": "769-300-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 DOCTORS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107345",
            "telephone_number": "769-300-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWYN",
        "first_name": "CAROLINE",
        "middle_name": "TATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "00532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Williams Evaluative (Brenda Hayes-Williams & Associates Therapy)
• Melissa M Bacon, DO
• Rebecca Bagwell, RDN, LDN
• Elizabeth Baird
• Jean Baker, PHARM.D
• Bethany P Ball, NP
• Lindsay E Ball, SLP
• Scheleria Banks
• Baptist Memorial Rehabilitation Hospital - Madison LLC (Baptist Memorial Rehabilitation Hospital - Madison)
• Baptist PT - Madison

• Medical Physician Assistant in Madison, MS
• Providers in Madison, MS by specialty
• Medical Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.

Verify at the official NPI Registry.