Active NPI
Brett Chandler Baudin, M.D.
- Diagnostic Radiology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036682
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501 - Phone
- (770) 535-9391
- Fax
- (770) 533-4701
- NPI assigned
- May 1, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036682 | GA | Primary |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Mailing address
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 535-9391
Other practice location 1
1250 Jesse Jewell Pkwy SE
Suite 500
Gainesville, GA 30501-3871
Phone (770) 532-9936
Other practice location 2
655 Jesse Jewell Pkwy SE Ste B
Gainesville, GA 30501-3854
Phone (770) 535-9391
Other practice location 3
1270 Friendship Rd
Braselton, GA 30517-5630
Phone (770) 535-9391
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00702523C | Medicaid | GA | |
| 000702523BG | Medicaid | GA | |
| 000702523BH | Medicaid | GA | |
| 000702523BF | Medicaid | GA | |
| 300072216 | Other | GA | RAILROAD MEDICARE |
| 581177261A | Other | GA | MEDICARE GRP PROV # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Florida College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic PC | Current | Accepting new patients | |
| The Longstreet Clinic, PC | Current | Accepting new patients | |
| Northeast Georgia Community Physicians LLC | Current | Accepting new patients |
Locations
1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200
801 Austin Dr
Demorest, GA 30535
Phone (706) 754-8066
655 Jesse Jewell Pkwy SE
Ste B
Gainesville, GA 30501
Phone (770) 532-7092
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
316 N Broad St
Winder, GA 30680
Phone (770) 307-5354
Organizations & group practices 3
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 Longstreet of NGHS
- Internal Medicine Physician
- Gainesville, GA
- NPI 1881583730
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1326019977
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1871550988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013834",
"telephone_number": "770-535-9391",
"fax_number": "770-533-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-535-9391",
"fax_number": "770-533-4701"
}
],
"practiceLocations": [
{
"address_1": "1250 Jesse Jewell Pkwy SE",
"address_2": "SUITE 500",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013871",
"country_code": "US",
"telephone_number": "770-532-9936",
"fax_number": "770-534-9877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 Jesse Jewell Pkwy SE Ste B",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013854",
"country_code": "US",
"telephone_number": "770-535-9391",
"fax_number": "770-533-4701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Friendship Rd",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175630",
"country_code": "US",
"telephone_number": "770-535-9391",
"fax_number": "770-533-4701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUDIN",
"first_name": "BRETT",
"middle_name": "CHANDLER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "036682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00702523C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000702523BG",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000702523BH",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000702523BF",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300072216",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP PROV #",
"identifier": "581177261A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.