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FAMILY MEDICINE OF BAXLEY INC.
NPI 1295240059
Family Medicine in Baxley, GA

Active since December 02, 2017CLIA 11D2143817 · Waiver
408 S MAIN ST, BAXLEY, GA 31513(912) 705-1227(912) 705-0673 Get Directions Write a Review

NPPES record last updated: December 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medicine Of Baxley Inc. NPPES

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

FAMILY MEDICINE OF BAXLEY INC. (NPI 1295240059) is a healthcare organization registered as a family medicine in Baxley, Georgia and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Evelyn J Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1295240059
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE OF BAXLEY INC.
Location Address408 S MAIN STBaxley, GA 31513-0184
Mailing Address251 Ricardo StBaxley, GA 31513-7057 · (912) 705-1227 · Fax (912) 705-0673
Phone(912) 705-1227
Fax(912) 705-0673
Organization SubpartNo
Authorized OfficialEvelyn J JohnsonOwner · (912) 705-1227
Enumeration DateDecember 2, 2017
✔ NPI 1295240059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 056182
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
408 S MAIN ST, Baxley, GA 31513
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2143817

Family Medicine Of Baxley, Inc · Baxley, GA
Active · expires Feb 5, 2028
CLIA Number11D2143817
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorEvelyn J. Johnson
Laboratory Phone(912) 705-1227
Laboratory LocationFamily Medicine Of Baxley, Inc408 S Main Street, Suite C, Baxley, GA 31513
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Medicine Of Baxley Inc.'s NPI number?

The NPI number for Family Medicine Of Baxley Inc. is 1295240059. It was assigned to this organization in the NPPES registry on December 2, 2017.

Where is Family Medicine Of Baxley Inc. located?

Family Medicine Of Baxley Inc. is located at 408 S Main St, Baxley, GA 31513. The listed phone number is (912) 705-1227.

What is Family Medicine Of Baxley Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Family Medicine Of Baxley Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2143817) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Medicine Of Baxley Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Family Medicine Of Baxley Inc. 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 Family Medicine Of Baxley Inc. was last updated on December 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.