Active NPI
Courtney Baldwin, CSA
- Surgical Assistant
- Waycross, GA
National Provider Identifier
1962877001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 4601
- Practice address
- 2403 Spurgeon St
Waycross, GA 31501 - Phone
- (912) 281-9105
- NPI assigned
- Dec 1, 2015
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 4601 | GA | Primary |
| Surgical Technologist | 246ZS0410X | 144370 | GA |
Addresses
Primary practice location
2403 Spurgeon St
Waycross, GA 31501
Mailing address
901 Emerald CT
Woodstock, GA 30189-5183
Phone (912) 281-9105
Other practice location 1
207 Holly St
Waycross, GA 31501-3300
Phone (912) 281-9105
Other names 1
- Courtney Baldwin
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4601 | GA | MD | Surgical Assistant |
| 144370 | GA | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Surgical Assistants, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Physician Assistant
- Marietta, GA
- NPI 1962883082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962877001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 EMERALD CT",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895183",
"telephone_number": "912-281-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 SPURGEON ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "31501",
"telephone_number": "912-281-9105"
}
],
"practiceLocations": [
{
"address_1": "207 Holly St",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315013300",
"country_code": "US",
"telephone_number": "912-281-9105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALDWIN",
"first_name": "COURTNEY",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "4601",
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "GA",
"license": "144370",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "BALDWIN",
"credential": "CSA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waycross, GA
- Nosheen Azam, M.D.
- Najam Azmat, MD
- Babies Can'T Wait
- Bacon County Health Services, Inc. (South Georgia Orthopaedic Group)
- Michael P Baker, M.D.
- Hannah Harper Banach, NP-C
- Rong Bao, M.D.
- Baptist Village, Inc.
- Emily Bennett Barefield, CCC-SLP
- Barjinder Singh MD PC (South Georgia Oncology Hematology Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.