Jacquita Nicole Baldwin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN204398 Issued in GA

Practice address

106 Moran Dr
Bonaire, GA 31005-5106

Phone

(478) 988-1282

Fax

(478) 988-3120

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

Yes

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 GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Samuel E. Palmer, MD, PC

  • Family Medicine Physician
  • Bonaire, GA
  • NPI 1376555300
  Medicare reassignment NPD

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1861034415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MORAN DR",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310055106",
            "telephone_number": "478-988-1282",
            "fax_number": "478-988-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MORAN DR",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310055106",
            "telephone_number": "478-988-1282",
            "fax_number": "478-988-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JACQUITA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel'S Home Health Care
• Sally Lee Arnold, APRN
• As One EMS LLC
• As One EMS LLC
• As One Transport Inc
• Marla Winge Baltz, PHARMD
• Robert Wayne Bearden Jr., D.C.
• Joseph Brandon Beck, PT, DPT, ATC
• Ineakey Biggins, MS
• Blue Robin Abiding Medical Innovations

• Family Nurse Practitioner in Bonaire, GA
• Providers in Bonaire, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.