EUGENE JR. BALDWIN – Family Nurse Practitioner, NPI 1194429639

EUGENE JR. BALDWIN is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-182756 (AL). The NPI Number for EUGENE JR. BALDWIN is 1194429639

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
EUGENE JR. BALDWIN
NPI
1194429639
Phone
(205) 409-2794
Address
1664 FORESTDALE BLVD
Enumeration Date
29 March 2023
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562352273
Graduation Year
2024 (2 years ago)
PAC ID
6709314818
Group Practice PAC ID
6103114087
Professional Enrollment ID
I20250116001235
Address ID
AL362012132AN4100XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for EUGENE JR. BALDWIN

  • 1664 FORESTDALE BLVD

    BIRMINGHAM, AL 352142042

    Phone: (205) 409-2794

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250116001235INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103114087View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Internal Medicine, Pediatric MedicineAL
Physician AssistantAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
General SurgeryAL
Family PracticeAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for EUGENE JR. BALDWIN?
EUGENE JR. BALDWIN — NPI 1194429639 — is the standard way to identify this listing.
Does CMS list EUGENE JR. BALDWIN as active?
Yes — EUGENE JR. BALDWIN is active in the NPI listing used on this page.
What is EUGENE JR. BALDWIN's primary classification?
Family Nurse Practitioner is the headline specialty for EUGENE JR. BALDWIN here. Clinical services aligned with this taxonomy classification.
What address line appears for EUGENE JR. BALDWIN?
EUGENE JR. BALDWIN's geographic hint is Birmingham, Alabama in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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