JODY MILFORD BAHAM FNP-BC
NPI 1699545822
Nurse Practitioner - Family in Pooler, GA

Q: What is Jody Baham's NPI number?

The NPI number for Jody Baham is 1699545822. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Q: What is Jody Baham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jody Baham was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since January 08, 2024PECOS Enrolled

138 CANAL ST STE 201, POOLER, GA 31322(912) 348-3383(912) 348-2669 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jody Milford Baham Fnp-bc NPPES

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

JODY MILFORD BAHAM FNP-BC (NPI 1699545822) is an individual family provider in Pooler, Georgia, licensed in Georgia (RN287159) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699545822

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJODY MILFORD BAHAMCredential: FNP-BC

Location Address138 CANAL ST STE 201Pooler, GA 31322-4047

Mailing Address413 Gravel WayBloomingdale, GA 31302-8120 · (706) 599-7174

Phone(912) 348-3383

Fax(912) 348-2669

Sole ProprietorNo

Enumeration DateJanuary 8, 2024

Last NPPES UpdateOctober 9, 2025

NPPES CertifiedOctober 9, 2025

✔ NPI 1699545822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN287159

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License RN287159 (GA)

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License RN287159 (GA)

Also ListedClinic/Center · PainTaxonomy 261QP3300X · License RN287159 (GA)

138 CANAL ST STE 201, Pooler, GA 31322

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jody Milford Baham Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31322 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. DAVID MONROE NELSON MD

Pain Medicine (Pain Medicine)

138 CANAL ST STE 201
POOLER, GA 31322

Chatham County (912) 348-3833

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 Jody Baham's NPI number?

The NPI number for Jody Baham is 1699545822. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Jody Baham located?

Jody Baham practices at 138 Canal St Ste 201, Pooler, GA 31322. The listed phone number is (912) 348-3383.

What is Jody Baham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jody Baham enrolled in Medicare?

Yes. Jody Baham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jody Baham was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.