Individual provider Active NPI

Kevin J. Baggett, D.O.

  • Family Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1871550707
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
048410 Issued in GA
Practice address
500 Spillers Way
Warner Robins, GA 31088-0513
Phone
(478) 953-4844
Fax
(478) 953-4824
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 048410 GA Primary

Addresses

Primary practice location

500 Spillers Way
Warner Robins, GA 31088-0513

Mailing address

500 Spillers Way
Warner Robins, GA 31088-0513
Phone (478) 953-4844

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000713 GA Practitioner - Family Practice 0446243190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Spillers Way
Warner Robins, GA 31088-0513
Phone (478) 953-4844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
048410GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J. Baggett, DO,PC Family Medicine CurrentSince Jan 1, 2004 Accepting new patients
Central Georgia Health Care Center, PC PastSince May 1, 2022 Accepting new patients

Locations

320 Margie Dr
Warner Robins, GA 31088
Phone (478) 746-2888

500 Spillers Way
Warner Robins, GA 31088
Phone (478) 953-4844

Interoperability endpoints

  • Direct secure messaging: kevin.baggett@kjbdp.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1871550707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880513",
            "telephone_number": "478-953-4844",
            "fax_number": "478-953-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880513",
            "telephone_number": "478-953-4844",
            "fax_number": "478-953-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGETT",
        "first_name": "KEVIN",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.