Michael P Baker, M.D.
Individual provider Active NPI Neurology Physician · Waycross, GA
NPI 1982607339 · NPPES record last updated Jan 22, 2013
Key facts
- NPI
- 1982607339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 036497 (GA)
- Practice address
- 2101 Tebeau St
Waycross, GA 31501-6935 - Phone
- (912) 285-5690
- Fax
- (912) 285-1753
- NPI assigned
- May 31, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036497 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven P Hill, MD,PC | Neurology | Past | Accepting new patients |
Interoperability endpoints
- michael.baker@mhs.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036497 | GA | Yes |
Addresses
Primary practice location
2101 Tebeau St
Waycross, GA 31501-6935
Mailing address
PO Box 173
Waycross, GA 31502-0173
Phone (912) 285-5690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000532034E | Medicaid | GA |
Other providers in Waycross, GA
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- Nosheen Azam
- Najam Azmat
- Babies Can'T Wait
- Bacon County Health Services, Inc.
- Courtney Baldwin
- Hannah Harper Banach
- Rong Bao
- Baptist Village, Inc.
- Emily Bennett Barefield
All providers in Waycross, GA · Neurology 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 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.