Active NPI
Eleanor Claire Baddley
- Physician Assistant
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11511
- Practice address
- 1120 15TH St
Augusta, GA 30912-0020 - Phone
- (706) 721-8623
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Psychologist
- Marietta, GA
- NPI 1114207461
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Hospital & facility affiliations
- Wellstar MCG Health, Affiliated With Med Col
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
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: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230419002087 | GA | Practitioner - Physician Assistant | 3779958061 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11511 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients |
Locations
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1447 Harper St
Augusta, GA 30912
Phone (706) 721-4451
1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813
4300 University Pkwy
Evans, GA 30809
Phone (706) 721-8614
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | GA | ||
| Physician Assistant | 363A00000X | 11511 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1120 15TH St
Augusta, GA 30912-0020
Mailing address
1120 15TH St # Or6000
Augusta, GA 30912-0004
Phone (706) 721-3813
Other practice location 1
1447 Harper St
Augusta, GA 30912-0020
Phone (706) 721-4296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2023.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1831803063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST # OR6000",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120020",
"telephone_number": "706-721-8623"
}
],
"practiceLocations": [
{
"address_1": "1447 Harper St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120020",
"country_code": "US",
"telephone_number": "706-721-4296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADDLEY",
"first_name": "ELEANOR",
"middle_name": "CLAIRE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.