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BAILEE MARIE LICHTER MD
NPI 1205630779
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 02, 2025PECOS Enrolled
1364 CLIFTON RD NE STE BG03, ATLANTA, GA 30322(404) 712-4686 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bailee Marie Lichter Md NPPES

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

BAILEE MARIE LICHTER MD (NPI 1205630779) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205630779
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBAILEE MARIE LICHTERCredential: MD
Location Address1364 CLIFTON RD NE STE BG03Atlanta, GA 30322-1059
Mailing Address2000 W Trevi Pl Apt 304Sioux Falls, SD 57108-7508 · (402) 312-8040
Phone(404) 712-4686
Sole ProprietorNo
Enumeration DateApril 2, 2025
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1205630779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1364 CLIFTON RD NE STE BG03, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bailee Marie Lichter Md 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.

Other Providers at the Same Location NPPES 4

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

SUMIT GARG
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE BG03
ATLANTA, GA 30322
Dekalb County (470) 423-9631
EHSAN UL KARIM M.D.
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE BG03
ATLANTA, GA 30322
Dekalb County (404) 778-2626
SANGHOON JUNG MD
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE BG03
ATLANTA, GA 30322
Dekalb County (404) 778-2626
DR. JUN MAN KIM MD
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE STE BG03
ATLANTA, GA 30322
Dekalb County (404) 778-2626

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 Bailee Lichter's NPI number?

The NPI number for Bailee Lichter is 1205630779. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Bailee Lichter located?

Bailee Lichter practices at 1364 Clifton Rd NE Ste Bg03, Atlanta, GA 30322. The listed phone number is (404) 712-4686.

What is Bailee Lichter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bailee Lichter enrolled in Medicare?

Yes. Bailee Lichter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bailee Lichter was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.