Derek Paul Baudoin, M.D.
Individual provider Active NPI Family Medicine Physician · Brunswick, GA
NPI 1790073658 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1790073658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 068880 (GA)
- Practice address
- 2415 Parkwood Dr
Brunswick, GA 31520-4722 - Phone
- (912) 466-7000
- NPI assigned
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cooperative Healthcare Services Inc
Practice addresses (Care Compare)
2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079
Hospital & facility affiliations
- Southeast Georgia Health System- Brunswick Campus
- Ascension St Vincent'S Riverside
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 |
|---|---|---|---|---|
| I20240715003005 | GA | Practitioner - Family Practice | 0446795462 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068880 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current |
Accepting new patients | |
| Cooperative Healthcare Services Inc | Family Medicine | Current |
Accepting new patients |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients | |
| Jesup Operator LLC | Past | Accepting new patients |
Locations
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
3100 Savannah Hwy
Jesup, GA 31545
Phone (912) 278-4335
2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160
7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 068880 | GA | Yes |
Addresses
Primary practice location
2415 Parkwood Dr
Brunswick, GA 31520-4722
Mailing address
2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-7000
Other providers in Brunswick, GA
- Jeffrey James Barron
- Natalie Slocumb Barron
- Matthew James Barrow
- Maegan Bartman
- Christina Bates
- Samantha Baxter
- Paul Kevin Beach
- Megan Elizabeth Beard
- Marcia Beauchamp
- Hope Becker
All providers in Brunswick, GA · Family Medicine 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 Jan 6, 2026. 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.