Active NPI
James David Baxter, MD
- Internal Medicine Physician
- Savannah, GA
National Provider Identifier
1871506204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 027963
- Practice address
- 1101 Lexington Ave
Savannah, GA 31404 - Phone
- (912) 350-7171
- Fax
- (912) 350-3454
- NPI assigned
- Aug 15, 2006
- Last updated
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 027963 | GA | Primary |
Addresses
Primary practice location
1101 Lexington Ave
Savannah, GA 31404
Mailing address
1101 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 350-7171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G27963 | Medicaid | SC | |
| 000317413D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027963 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smyrna Family Medicine, LLC | Current | Accepting new patients | |
| Caring Hands EMS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Premier Primary Care Medicine
- Family Medicine Physician
- Smyrna, GA
- NPI 1598168650
-
- Ambulance
- Austell, GA
- NPI 1124448766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1871506204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 LEXINGTON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314045502",
"telephone_number": "912-350-7171",
"fax_number": "912-350-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 LEXINGTON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31404",
"telephone_number": "912-350-7171",
"fax_number": "912-350-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "JAMES",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "027963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G27963",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000317413D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.