MR. DEREK LADON BAKER (PA-C) – Surgical Physician Assistant, NPI 1427300193

MR. DEREK LADON BAKER (PA-C) is a healthcare provider. based in Marietta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 006567 (GA). The NPI Number for MR. DEREK LADON BAKER (PA-C) is 1427300193

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. DEREK LADON BAKER (PA-C)
NPI
1427300193
Phone
(770) 422-2326
Address
61 WHITCHER ST NE STE 3110
Enumeration Date
5 October 2012
Last Update Date
6 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2012 (14 years ago)
PAC ID
5193976256
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20121119000413
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
dbaker31313@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for MR. DEREK LADON BAKER (PA-C)

  • 61 WHITCHER ST NE STE 3110

    MARIETTA, GA 30060

    Phone: (770) 422-2326

    Type: Location

  • 805 SANDY PLAINS ROAD

    MEDICAL STAFF SERVICES

    MARIETTA, GA 300666340

    Phone:

    Type: Mailing

  • 25751 McBean Pkwy

    Suite 305

    Valencia, CA 913553701

    Phone: (661) 367-9195

    Fax: (661) 367-9198

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: Globus Medical, Inc. ($20).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-11-19

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
I20121119000413IPhysician AssistantGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2928$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I cross-check MR. DEREK LADON BAKER (PA-C) using NPI 1427300193?
NPI 1427300193 belongs to MR. DEREK LADON BAKER (PA-C); compare other details if you need extra assurance.
Is MR. DEREK LADON BAKER (PA-C) shown as active in public data?
Registry records indicate MR. DEREK LADON BAKER (PA-C) maintains an active NPI.
What expertise is attributed to MR. DEREK LADON BAKER (PA-C)?
MR. DEREK LADON BAKER (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. DEREK LADON BAKER (PA-C) located near Marietta?
MR. DEREK LADON BAKER (PA-C) currently maps to Marietta, Georgia in this extract.
When was this NPI issued?
Enumeration for MR. DEREK LADON BAKER (PA-C) is noted as October 5, 2012 where the registry provides it.

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