Individual provider Active NPI

Jennie Baker Scoggins, M.D.

  • Pediatrics Physician
  • Evans, GA
National Provider Identifier
1982727400
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
67792 Issued in GA
Practice address
411 Town Park Blvd
Evans, GA 30809-3487
Phone
(706) 854-2500
Fax
(706) 854-2559
NPI assigned
Apr 9, 2007
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 67792 GA Primary

Addresses

Primary practice location

411 Town Park Blvd
Evans, GA 30809-3487

Mailing address

550 Professional Dr
Macon, GA 31201-1411
Phone (478) 741-3007

Other practice location 1

1303 Dantignac St Ste 2600
Augusta, GA 30901-2796
Phone (706) 854-2500 ext. 232

Other practice location 2

241 Meridian Dr
Grovetown, GA 30813-0260
Phone (706) 854-2500

Other practice location 3

5135 Wrightsboro Rd Ste B
Grovetown, GA 30813-2803
Phone (706) 854-2500 ext. 232

Other identifiers 3

IdentifierTypeStateIssuer
003125065QMedicaidGA
003125065MMedicaidGA
003125065OMedicaidGA

Other names 1

  • Dr. Jennie Mae Baker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912001140 GA Practitioner - Pediatric Medicine 2365792397 Reassigns benefits to 1 organization
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67792GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners of Augusta, LLC Pediatrics CurrentSince Feb 4, 2024 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Feb 1, 2024 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Feb 1, 2024 Accepting new patients
Melissa Jadick Pediatrics Past Accepting new patients
Au Medical Associates Inc PastSince Feb 4, 2024 Accepting new patients

Locations

1113 Garredd Blvd
Augusta, GA 30909
Phone (706) 364-8220

1115 Garredd Blvd
Augusta, GA 30909
Phone (706) 922-0101

1303 Dantignac St
Ste 2600
Augusta, GA 30901
Phone 7068542500 ext. 232

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

411 Town Park Blvd
Evans, GA 30809
Phone 7068542500 ext. 232

5135 Wrightsboro Rd
Grovetown, GA 30813
Phone (706) 854-2500

5135 Wrightsboro Rd
Ste B
Grovetown, GA 30813
Phone 7068542500 ext. 232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennie.scoggins.1@14928.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1982727400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PROFESSIONAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011411",
            "telephone_number": "478-741-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Dantignac St Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012796",
            "country_code": "US",
            "telephone_number": "706-854-2500 x232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Meridian Dr",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308130260",
            "country_code": "US",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5135 Wrightsboro Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308132803",
            "country_code": "US",
            "telephone_number": "706-854-2500 x232",
            "fax_number": "706-854-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOGGINS",
        "first_name": "JENNIE",
        "middle_name": "BAKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "67792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125065Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125065M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125065O",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "BAKER",
            "middle_name": "MAE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.