Fiona Carolyn Baldwin, M.D
Individual provider Active NPI Family Medicine Physician · Lithonia, GA
NPI 1972799062 · NPPES record last updated Jan 7, 2022
Key facts
- NPI
- 1972799062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 65930 (GA)
- Practice address
- 5440 Hillandale Dr
Kaiser Permanente Panola Medical Center
Lithonia, GA 30058-4865 - Phone
- (770) 322-3290
- Fax
- (678) 490-0091
- NPI assigned
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Southeast Permanente Medical Group
Practice addresses (Care Compare)
3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110721000494 | GA | Practitioner - Family Practice | 8820184583 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65930 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Family Medicine | Current |
Accepting new patients |
| Virtua Medical Group, PA | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Partners in Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
5440 Hillandale Dr
Lithonia, GA 30058
Phone (770) 322-2716
1125 Town Center Village Dr
McDonough, GA 30253
Phone (678) 583-6557
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 065930 | GA | |
| Family Medicine Physician | 207Q00000X | 25MA08312000 | NJ | |
| Family Medicine Physician | 207Q00000X | 65930 | GA | Yes |
Addresses
Primary practice location
5440 Hillandale Dr
Kaiser Permanente Panola Medical Center
Lithonia, GA 30058-4865
Mailing address
3495 Piedmont Rd NE
Nine Piedmont Center
Atlanta, GA 30305-1717
Phone (404) 364-7070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003113166A | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Other providers in Lithonia, GA
- Tameka Blanette Bacon
- Baker and Associates Dental Group
- Shemekia Baker
- Tiffany M. Baker
- Zakeyeria Baker
- Lindsay Ballengee
- Donnell Banks
- Sylver J Banks
- Willie H Bannister
- Jazmyne Barber
All providers in Lithonia, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.