MR. MARTIN MANDELA BAXTER M.D.
NPI 1609450485
Student in an Organized Health Care Education/Training Program in Athens, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Martin Baxter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami Gardens, FL 33169
- Reassigned Medicare billing, Georgia enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
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.
Which organization bills Medicare for Martin Baxter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Baxter reassigns Medicare benefits to Pmr Georgia Holding, LLC (Miami Gardens, FL). The 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 Martin Baxter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Martin Mandela Baxter, M.D. · NPI 1609450485
Student in an Organized Health Care Education/Training Program provider in Athens, Georgia. Individual provider, active in the CMS NPPES registry since May 8, 2021.
## Identity
- **NPI:** 1609450485 (Entity type: Individual)
- **Enumerated:** May 8, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1270 PRINCE AVE, SUITE 201, Athens, GA 30606
- **Phone:** (706) 475-7055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pmr Georgia Holding, LLC (NPI 1609329630, Miami Gardens, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1609450485) · Data from the CMS NPPES public registry.