MR. MARTIN MANDELA BAXTER M.D.
NPI 1609450485
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since May 08, 2021PECOS Enrolled
1270 PRINCE AVE, SUITE 201, ATHENS, GA 30606(706) 475-7055 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2024, Jun 9, 2022, May 8, 2021 (3 updates tracked since 2021).

About Mr. Martin Mandela Baxter M.d. NPPES

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

MR. MARTIN MANDELA BAXTER M.D. (NPI 1609450485) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609450485
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MARTIN MANDELA BAXTERCredential: M.D.
Location Address1270 PRINCE AVE, SUITE 201Athens, GA 30606
Mailing Address1199 Prince Ave, #70Athens, GA 30606
Sole ProprietorNo
Enumeration DateMay 8, 2021
Last NPPES UpdateJune 9, 20223 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1609450485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1270 PRINCE AVE, Athens, GA 30606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Martin Mandela Baxter M.d. 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 20

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

Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Nurse Practitioner (Primary Care)
1270 PRINCE AVE
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 102
ATHENS, GA 30606
Nurse Practitioner (Family)
1270 PRINCE AVE
ATHENS, GA 30606
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606

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 Martin Baxter's NPI number?

The NPI number for Martin Baxter is 1609450485. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Martin Baxter located?

Martin Baxter practices at 1270 Prince Ave Suite 201, Athens, GA 30606. The listed phone number is (706) 475-7055.

What is Martin Baxter's specialty?

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

Is Martin Baxter enrolled in Medicare?

Yes. Martin Baxter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Martin Baxter was last updated on June 9, 2022. 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.