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JUDY B BAIN
NPI 1679132922
Clinic/Center in Lagrange, GA

Active since June 11, 2019
104 HARWELL AVE STE 236, LAGRANGE, GA 30240(706) 885-0111(706) 885-0607 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judy B Bain NPPES

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

JUDY B BAIN (NPI 1679132922) is a healthcare organization registered as a clinic/center in Lagrange, Georgia and active in the NPI registry since June 2019. The organization lists Roxie Moton, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1679132922
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJUDY B BAIN
Location Address104 HARWELL AVE STE 236Lagrange, GA 30240-3132
Mailing Address104 Harwell Ave Ste 236Lagrange, GA 30240-3132 · (706) 885-0111 · Fax (706) 885-0607
Phone(706) 885-0111
Fax(706) 885-0607
Organization SubpartNo
Authorized OfficialRoxie MotonCredentialing Specialist · (706) 594-6073
Enumeration DateJune 11, 2019
✔ NPI 1679132922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
104 HARWELL AVE STE 236, Lagrange, GA 30240
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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 Judy B Bain's NPI number?

The NPI number for Judy B Bain is 1679132922. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Judy B Bain located?

Judy B Bain is located at 104 Harwell Ave Ste 236, Lagrange, GA 30240. The listed phone number is (706) 885-0111.

What is Judy B Bain's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Judy B Bain was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.