Baxley Primary Care, PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN115507 Issued in GA

Legal business name

BAXLEY PRIMARY CARE, PC

Practice address

950 S Main St
Suite 1
Baxley, GA 31513-0162

Phone

(912) 705-6866

Fax

(912) 705-6681

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Janey B Britt, FNP-C

Title

Owner/Provider

Phone

(912) 705-6866

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1972035152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130162",
            "telephone_number": "912-705-6866",
            "fax_number": "912-705-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130162",
            "telephone_number": "912-705-6866",
            "fax_number": "912-705-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXLEY PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JANEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "912-705-6866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN115507",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN115507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnes Drug Store, LLC
• Mark Tollison Barnes, R.PH.
• Jessie Marguriette Bass, NP-C
• Baxley Eyecare Center
• Baxley Medical Clinic, LLC
• Baxley Wellness Pharmacy Inc.
• Baxley Wellness Pharmacy Inc. Long-Term Care
• Martha D Beecher, NP
• Robert E Bennett Jr.
• Amber Leigh Boatright, DPT

• All providers in Baxley, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.