Individual provider Active NPI

Richard W Baehler, MD

  • Nephrology Physician
  • Greensboro, GA
National Provider Identifier
1992808463
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
059429 Issued in GA
Practice address
1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539
Phone
(706) 923-2002
Fax
(706) 999-1540
NPI assigned
Sep 7, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 17721 KY
Nephrology Physician 207RN0300X 059429 GA Primary

Addresses

Primary practice location

1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539

Mailing address

1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539
Phone (706) 923-2002

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
I20070725000404 GA Practitioner - NephrologyPractitioner - Internal Medicine 2668454935

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17721KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Group of Saint Joseph's, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard.baehler@athenshealth.gadirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1992808463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINC WAY STE W-200",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424539",
            "telephone_number": "706-923-2002",
            "fax_number": "706-999-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINC WAY STE W-200",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424539",
            "telephone_number": "706-923-2002",
            "fax_number": "706-999-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEHLER",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "17721",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "059429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.