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CONEY BAE M.D.
NPI 1558704791
Surgery in Lagrange, GA

Active since April 08, 2013
1600 VERNON RD STE A, LAGRANGE, GA 30240(706) 880-4143(706) 880-7343 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2021, Nov 25, 2019, Apr 10, 2019 (3 updates tracked since 2019).

About Coney Bae M.d. NPPES

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

CONEY BAE M.D. (NPI 1558704791) is an individual surgery provider in Lagrange, Georgia, licensed in Georgia (89209) and active in the NPI registry since April 2013. She maintains a secondary practice location in Fort Lauderdale.

NPPES Registry Identity

NPI1558704791
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCONEY BAECredential: M.D.
Location Address1600 VERNON RD STE ALagrange, GA 30240-4143
Mailing Address1600 Vernon Rd Ste ALagrange, GA 30240-4143 · (706) 880-4143 · Fax (706) 880-7343
Phone(706) 880-4143
Fax(706) 880-7343
Sole ProprietorNo
Enumeration DateApril 8, 2013
Last NPPES UpdateSeptember 9, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1558704791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 89209✔ Licensed in FL · ME133865
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1600 VERNON RD STE A, Lagrange, GA 30240
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Secondary Practice Location 1

Location 16405 N Federal Hwy Ste 300Fort Lauderdale, FL 33308-1414 · Phone (954) 771-7294 · Fax (954) 776-8956

Other Identifiers 1

Medicaid100073600FL

Other Providers at the Same Location NPPES 3

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

MR. SEAN HOLLOWAY AGACNP-BC / FNP-BC
Nurse Practitioner
1600 VERNON RD STE A
LAGRANGE, GA 30240
Troup County (706) 803-8799
KARIE ELIZABETH JETER MD
Surgery
1600 VERNON RD STE A
LAGRANGE, GA 30240
Troup County (706) 803-7570
DR. JENNIFER ELLEN SUSORENY-VELGOS D.O.
Surgery
1600 VERNON RD STE A
LAGRANGE, GA 30240
Troup County (706) 880-7321

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 Coney Bae's NPI number?

The NPI number for Coney Bae is 1558704791. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Coney Bae located?

Coney Bae practices at 1600 Vernon Rd Ste A, Lagrange, GA 30240. The listed phone number is (706) 880-4143.

What is Coney Bae's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Coney Bae was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.