BENJAMIN BAKER JR. (NPI# 1104212869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104212869 |
| Entity Type | Individual |
| Full Name | BENJAMIN BAKER JR. |
| Practice Address |
231 Graefe St Griffin GA 30224-4222 |
| Practice Telephone | 7702271587 |
| Practice Fax Number | 7702271485 |
| Mailing Telephone | 7702271587 |
| Mailing Fax Number | 7702271485 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN202254 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1891344537 | Benjamin Michael George Baker | Specialist/Technologist | 3600 Atwood St, Pittsburgh, PA 15260 | 2019-09-05 |
| 1548740657 | Benjamin D Baker | Pharmacist | 38 Rutland Shopping Plz, Rutland, VT 05701-5201 | 2018-08-17 |
| 1811492960 | Benjamin Mark Baker | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-03-29 |
| 1104365188 | Benjamin Baker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2017-02-23 |
| 1245605856 | Benjamin Harvey Baker | Counselor | 117 N Garth Ave, Columbia, MO 65203-4103 | 2015-12-08 |
| 1134533128 | Benjamin Baker | Physician Assistant | 19 Myrtle St, Medford, OR 97504-7337 | 2014-06-17 |
| 1932445319 | Benjamin Walter Baker Jr. | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2012-12-12 |
| 1336466143 | Benjamin Charles Baker | Chiropractor | 4122 Factoria Blvd Se, Suite 203, Bellevue, WA 98006 | 2010-05-03 |
| 1093959306 | Benjamin Eugene Baker | Emergency Medicine | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2009-04-30 |
| Street Address |
231 GRAEFE ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800899 | Mahmood Ahmed | Internal Medicine | 231 Graefe St, Griffin, GA 30224-4222 | 2005-06-08 |
| 1982097564 | Amanda Jill Williams | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2015-03-06 |
| 1154712842 | Arian M Brantley | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2015-02-17 |
| 1407247877 | Allison Maxwell Barnes | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2015-02-06 |
| 1164861753 | Alisa Natasha Allicock | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2013-06-18 |
| 1134567209 | Ashley Ficklen Johnson | Physician Assistant | 231 Graefe St, Griffin, GA 30224-4222 | 2013-06-11 |
| 1134566888 | Catherine Ann Blow | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2013-06-03 |
| 1902128747 | Theresa Kassack Buchanan | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2010-02-22 |
| 1831326982 | Kindal Ray Delay | Physician Assistant | 231 Graefe St, Griffin, GA 30224-4222 | 2009-06-16 |
| 1265610109 | Gwendolyn Fay Langford | Physician Assistant | 231 Graefe St, Griffin, GA 30224-4222 | 2008-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902204498 | Dorothy G Eubanks | Nurse Practitioner | 716 Woodland Dr, Griffin, GA 30224-4813 | 2014-12-15 |
| 1285262444 | Sirare Hezron Babere | Nurse Practitioner | 625 Carver Rd, Griffin, GA 30224-3937 | 2020-03-31 |
| 1104370501 | Melissa Hinton | Nurse Practitioner | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2016-08-15 |
| 1982097564 | Amanda Jill Williams | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2015-03-06 |
| 1154712842 | Arian M Brantley | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2015-02-17 |
| 1407247877 | Allison Maxwell Barnes | Nurse Practitioner | 231 Graefe St, Griffin, GA 30224-4222 | 2015-02-06 |
| 1750468153 | Lisa Renee Rankin | Nurse Practitioner | 546b S 8th St, Griffin, GA 30224-4212 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.