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DR. LETHENIA JOY BAKER M.D.
NPI 1306073127
Obstetrics & Gynecology in Thomaston, GA

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
214 CHEROKEE RD, THOMASTON, GA 30286(706) 647-9627(706) 647-9651 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lethenia Joy Baker M.d. NPPES

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

DR. LETHENIA JOY BAKER M.D. (NPI 1306073127) is an individual obstetrics & gynecology provider in Thomaston, Georgia, licensed in Georgia (069370) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Morehouse School Of Medicine (2009).

NPPES Registry Identity

NPI1306073127
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. LETHENIA JOY BAKERCredential: M.D.
Location Address214 CHEROKEE RDThomaston, GA 30286-3402
Mailing Address214 Cherokee RdThomaston, GA 30286-3402 · (706) 647-9627 · Fax (706) 647-9651
Phone(706) 647-9627
Fax(706) 647-9651
Sole ProprietorYes
Medical School CMSMorehouse School Of MedicineGraduated 2009
Enumeration DateJune 19, 2009
Last NPPES UpdateJuly 23, 2015
✔ NPI 1306073127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 069370
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
214 CHEROKEE RD, Thomaston, GA 30286
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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lethenia Joy Baker M.d. 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 ID8921249293
PECOS Enrollment IDI20130729000873
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

5

Medicare enrollment records show Lethenia Baker reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upson Womens Services LLC
0.1 mi
Obstetrics & Gynecology
214 CHEROKEE RD
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
NPI 1881842821 (706) 647-9627
Dhp Of Piedmont PC
40 mi
Obstetrics & Gynecology
1255 HIGHWAY 54 W
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 67 clinicians in this Medicare group
NPI 1316202609 (770) 719-7000
Lotus Group LLC
43 mi
Infusion Therapy
1605 VERNON RD STE 1600
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1831874395 (706) 577-2883
Wellstar Medical Group, LLC
54 mi
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1205267192 (404) 344-0059
Obhg Georgia, P.C.
92 mi
Obstetrics & Gynecology
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1750686838 (800) 967-2289

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

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.

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.
22 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30286 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

DR. ANTHONY CASTRO POVEDA MD
Obstetrics & Gynecology
214 CHEROKEE RD
THOMASTON, GA 30286
Upson County (706) 647-9627
THOMASTON OBSTETRICAL & GYNECOLOGICAL ASSOCIATES, P.C.
Specialist
214 CHEROKEE RD
THOMASTON, GA 30286
Upson County (706) 647-9759
DR. TONYA ALISA ROBINSON D.O.
Obstetrics & Gynecology
214 CHEROKEE RD
THOMASTON, GA 30286
Upson County (706) 647-9627
HUGH DORSEY SMITH II M.D.
Obstetrics & Gynecology
214 CHEROKEE RD
THOMASTON, GA 30286
Upson County (706) 647-9627
MRS. RHONDA BROOKS RNC, WHNP
Nurse Practitioner (Women's Health)
214 CHEROKEE RD
THOMASTON, GA 30286
Upson County (706) 647-9627
UPSON WOMENS SERVICES LLC
Obstetrics & Gynecology
214 CHEROKEE RD
THOMASTON, GA 30286
Upson County (706) 647-9627

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 Lethenia Baker's NPI number?

The NPI number for Lethenia Baker is 1306073127. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Lethenia Baker located?

Lethenia Baker practices at 214 Cherokee Rd, Thomaston, GA 30286. The listed phone number is (706) 647-9627.

What is Lethenia Baker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lethenia Baker enrolled in Medicare?

Yes. Lethenia Baker 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.

Which organizations bill Medicare for Lethenia Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lethenia Baker reassigns Medicare benefits to 5 organizations: Upson Womens Services LLC (Thomaston, GA), Dhp Of Piedmont PC (Fayetteville, GA), Lotus Group LLC (Lagrange, GA), Wellstar Medical Group, LLC (Atlanta, GA) and Obhg Georgia, P.C. (Athens, 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 Lethenia Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lethenia Baker 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 Lethenia 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.

Is Lethenia Baker affiliated with any hospitals?

According to CMS data, Lethenia Baker is affiliated with Wellstar West Georgia Medical Center.

When was this NPI record last updated?

The NPPES record for Lethenia Baker was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.