Jordan Bauer, M.D.
Individual provider Active NPI Anesthesiology Physician · Athens, GA
NPI 1770070682 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1770070682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 91147 (GA)
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 475-7000
- NPI assigned
- Apr 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Medical College of Georgia School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Center Anesthesiology of Athens
Practice addresses (Care Compare)
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 543-3449
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220603000630 | GA | Practitioner - Anesthesiology | 5496133407 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91147 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Anesthesiology of Athens | Anesthesiology | Current |
Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients |
Locations
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 91147 | GA | Yes |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
625 19TH Street South
Birmingham, AL 35249
Other practice location 1
625 19 street south
Birmingham, AL 35249
Phone (205) 934-4696
Other providers in Athens, GA
- Prabina Basnet
- Rohan Basnet
- Ansley Batchelor
- Caroline B Batson
- Aubrey McCoy Baucom
- Kellie L Bauer
- Melissa Bienacker Baughcum
- Haley Bauguss
- Emma Baum
- Fatima Aspiras Bawayan
All providers in Athens, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.