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MR. DARRON P BAHAM PA-C
NPI 1114103785
Physician Assistant in Newnan, GA

Active since January 14, 2008PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1755 HIGHWAY 34 E, SUITE 2200, NEWNAN, GA 30265(770) 502-2175(770) 502-2169 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Jan 16, 2017 (2 updates tracked since 2017).

About Mr. Darron P Baham Pa-c NPPES

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

MR. DARRON P BAHAM PA-C (NPI 1114103785) is an individual physician assistant in Newnan, Georgia, licensed in Georgia (4424) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1114103785
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DARRON P BAHAMCredential: PA-C
Location Address1755 HIGHWAY 34 E, SUITE 2200Newnan, GA 30265-5631
Mailing Address1755 Highway 34 E, Suite 2200Newnan, GA 30265-5631 · (770) 502-2175 · Fax (770) 502-2169
Phone(770) 502-2175
Fax(770) 502-2169
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 14, 2008
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1114103785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 4424
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1755 HIGHWAY 34 E, Newnan, GA 30265
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Darron P Baham Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739128208
PECOS Enrollment IDI20050426000277
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.

Areas of Expertise CMS Part B claims 10

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
261 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
146 services91 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
98 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services86 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
43 services35 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
29%108 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
58%73 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%108 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
63%133 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
63%49 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JARED R SHAFER PA-C
Physician Assistant
1755 HIGHWAY 34 E, SUITE 2200
NEWNAN, GA 30265
Coweta County (770) 502-2175
MADISON ALLENSWORTH DPT
Physical Therapist
1755 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-2175
DR. DAVID JOSEPH LOVE M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1755 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-2175
JAYSON ALAN MCMATH M.D.
Orthopaedic Surgery
1755 HIGHWAY 34 E, SUITE 2200
NEWNAN, GA 30265
Coweta County (770) 502-2175
MARLISA B STECHMANN SLP
Speech-Language Pathologist
1755 HIGHWAY 34 E, SUITE 1300
NEWNAN, GA 30265
Coweta County (770) 254-7850
JORDAN ELIZABETH FOWLER ATC, LAT
Specialist/Technologist (Athletic Trainer)
1755 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 254-7850
KAREN MARTIN
Physical Therapy Assistant
1755 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 254-7850
MARY S S DICKERSON OT
Occupational Therapist
1755 HIGHWAY 34 E, SUITE 1300
NEWNAN, GA 30265
Coweta County (770) 254-7850

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 Darron Baham's NPI number?

The NPI number for Darron Baham is 1114103785. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Darron Baham located?

Darron Baham practices at 1755 Highway 34 E Suite 2200, Newnan, GA 30265. The listed phone number is (770) 502-2175.

What is Darron Baham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Darron Baham enrolled in Medicare?

Yes. Darron Baham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Darron Baham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Darron Baham 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 Darron Baham was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.