NPIMap

Individual provider Active NPI

Davena Ann Baxter-Baggett, LCSW

  • Clinical Social Worker
  • Chatsworth, GA
National Provider Identifier
1881293025
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004762 Issued in GA
Practice address
1008 N 3Rd Ave
Chatsworth, GA 30705-2118
Phone
(706) 517-2273
Fax
(706) 517-2469
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004762 GA Primary

Addresses

Primary practice location

1008 N 3Rd Ave
Chatsworth, GA 30705-2118

Mailing address

165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5607

Other practice location 1

80 Cinema Drive
Ellijay, GA 30540-2592
Phone (706) 635-6898

Other identifiers 1

IdentifierTypeStateIssuer
003247877MedicaidGA

Other names 1

  • Davena Ann Baxter Baggett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805002366 GA Practitioner - Clinical Social Worker 5890199319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Mountains Health Services, Inc. 21 clinicians

Practice addresses (Care Compare)

1008 N 3Rd Ave
Chatsworth, GA 30705-2118
Phone (706) 517-2273

80 Cinema Dr
Ellijay, GA 30540-2592
Phone (706) 635-6898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mountains Health Services, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Georgia Mountains Health Services, Inc. Current Accepting new patients
Georgia Mountains Health Services, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Georgia Mountains Health Services, Inc. Past Accepting new patients
Georgia Mountains Health Services, Inc. Past Accepting new patients
Georgia Mountains Health Services, Inc. Past Accepting new patients

Locations

165 Blue Ridge Overlook
Blue Ridge, GA 30513
Phone (706) 946-4647

1008 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 517-2273

500 Green Rd
Chatsworth, GA 30705
Phone (706) 517-2200

134 Ansley Dr
Ste 700
Dahlonega, GA 30533
Phone (706) 701-5001

153 School Dr
Dahlonega, GA 30533
Phone (706) 973-3215

Interoperability endpoints

  • Direct secure messaging: davena.baxter-baggett.1@20104.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1881293025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BLUE RIDGE OVERLOOK",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134431",
            "telephone_number": "706-946-5607",
            "fax_number": "706-374-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N 3RD AVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052118",
            "telephone_number": "706-517-2273",
            "fax_number": "706-517-2469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Cinema Drive",
            "address_purpose": "LOCATION",
            "city": "Ellijay",
            "state": "GA",
            "postal_code": "305402592",
            "country_code": "US",
            "telephone_number": "706-635-6898",
            "fax_number": "706-635-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER-BAGGETT",
        "first_name": "DAVENA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003247877",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVENA",
            "last_name": "BAXTER BAGGETT",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

Verify at the official NPI Registry.