BENJAMIN BAKER JR.
NPI 1104212869
Nurse Practitioner - Adult Health in Newnan, GA

Q: What is Benjamin Baker's NPI number?

The NPI number for Benjamin Baker is 1104212869. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Q: What is Benjamin Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Baker was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2015PECOS Enrolled

600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265(770) 400-6000 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Benjamin Baker Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN BAKER JR. (NPI 1104212869) is an individual adult health provider in Newnan, Georgia, licensed in Georgia (RN202254) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104212869

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameBENJAMIN BAKER JR.

Location Address600 CELEBRATE LIFE PKWYNewnan, GA 30265-8001

Mailing Address600 Celebrate Life PkwyNewnan, GA 30265-8001 · (770) 400-6000

Phone(770) 400-6000

Sole ProprietorNo

Enumeration DateApril 9, 2015

Last NPPES UpdateJune 23, 2021

NPPES CertifiedJune 23, 2021

✔ NPI 1104212869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · RN202254

600 CELEBRATE LIFE PKWY, Newnan, GA 30265

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Baker Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Benjamin Baker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Of Hope Medical Group Of Georgia LLC

0.1 mi

Internal Medicine

600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265

Reassigned Medicare billing, Georgia enrollment
448 clinicians in this Medicare group

NPI 1447520333 (847) 746-4333

Georgia Mso LLC

39 mi

Family Medicine

3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326

Reassigned Medicare billing, Georgia enrollment
131 clinicians in this Medicare group

NPI 1952196164 (212) 734-6621

Hardy Renew Wellness,llc

40 mi

Internal Medicine

838 CANNON RUN SW
Marietta, GA 30064

Reassigned Medicare billing, Georgia enrollment
134 clinicians in this Medicare group

NPI 1952914368 (423) 443-9956

Cogent Healthcare Of Georgia PC

71 mi

Internal Medicine

400 CHARTER BLVD
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
635 clinicians in this Medicare group

NPI 1609827823 (478) 757-8200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

393 services155 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

254 services93 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

85 services56 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

58 services50 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL H. MITCHAM PA

Physician Assistant

600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

Coweta County (855) 848-5760

MAAFIA A OSEI-CHEREMEH NP

Nurse Practitioner (Family)

600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

Coweta County (770) 400-6000

CAITLIN CRAIG LOFARO

Nurse Anesthetist, Certified Registered

600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

Coweta County (770) 744-4809

HENRY J KREBS III M.D.

Radiology (Diagnostic Radiology)

600 CELEBRATE LIFE PKWY, CANCER TREATMENT CENTERS OF AMERICA
NEWNAN, GA 30265

Coweta County (770) 400-6008

NITIKA SHARMA M.D.

Internal Medicine (Hematology & Oncology)

600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

Coweta County (770) 400-6000

HUNTER BOWLING

Nurse Anesthetist, Certified Registered

600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

Coweta County (770) 744-4809

SCOTT W SHELFO M.D.

Urology

600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

Coweta County (770) 343-7692

ANDRA BERNITA MATTHEWS NP

Nurse Practitioner (Acute Care)

600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

Coweta County (770) 400-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Baker's NPI number?

The NPI number for Benjamin Baker is 1104212869. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Benjamin Baker located?

Benjamin Baker practices at 600 Celebrate Life Pkwy, Newnan, GA 30265. The listed phone number is (770) 400-6000.

What is Benjamin Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Benjamin Baker enrolled in Medicare?

Yes. Benjamin Baker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Benjamin Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Baker reassigns Medicare benefits to 4 organizations: City Of Hope Medical Group Of Georgia LLC (Newnan, GA), Georgia Mso LLC (Atlanta, GA), Hardy Renew Wellness,llc (Marietta, GA) and Cogent Healthcare Of Georgia PC (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Baker accept?

Health plans from Oscar Health and Oscar Insurance Company list Benjamin Baker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Baker was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.