JUSTIN A BAKER (MD) – Family Medicine Physician, NPI 1790707925

JUSTIN A BAKER (MD) is a healthcare provider. based in Moultrie, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 060434 (GA). The NPI Number for JUSTIN A BAKER (MD) is 1790707925

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN A BAKER (MD)
NPI
1790707925
Phone
(229) 891-9016
Address
PO BOX 3877
Enumeration Date
24 July 2006
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2297852400
Graduation Year
2004 (22 years ago)
PAC ID
5294739033
Group Practice PAC ID
1153552724
Professional Enrollment ID
I20080429000440
Address ID
GA317686783MO4XXXXCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for JUSTIN A BAKER (MD)

  • PO BOX 3877

    MOULTRIE, GA 317763877

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    Type: Mailing

  • 4 Live Oak Ct

    Moultrie, GA 317686783

    Phone: (229) 891-9016

    Type: Location

  • 139 E Broad

    Norman Park, GA 317715085

    Phone: (229) 769-3500

    Type: Location

  • 101 Cobblestone Trce SE

    Moultrie, GA 317887747

    Phone: (229) 891-9016

    Type: Location

  • Laurel Court, Moultrie, Colquitt County, Georgia, 31768, United States

    MOULTRIE, GA 317686889

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    Type: Location

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 278 Open Payments records for all available years, with a total value of $4,340.

Total Amount is formed as General ($4,340) + Research ($0) + Ownership ($0) = $4,340.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($851).

Total Amount

$4,340

General + Research + Ownership

Payments

278

Total payment records

General Amount

$4,340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2008-04-29

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
I20080429000440IFamily PracticeGATBD

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
45380Biopsy of large bowel using a flexible endoscope2929$0
81002Urinalysis, manual test2925$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2424$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2423$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1212$0
View full utilization report →

Insurance plans in this area (ZIP 31776)

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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: 1153552724View full group profile
NameSpecialtyState
Physician AssistantNC
-GA
Gastroenterology, Internal MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the registry number for JUSTIN A BAKER (MD)?
The registry entry for JUSTIN A BAKER (MD) shows NPI 1790707925.
Does the public listing show JUSTIN A BAKER (MD) as active?
JUSTIN A BAKER (MD)'s NPI record reflects an active status in NPPES.
What type of care does JUSTIN A BAKER (MD) provide?
JUSTIN A BAKER (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JUSTIN A BAKER (MD)?
JUSTIN A BAKER (MD) shows a connection to Moultrie, Georgia in registry-derived data.
Can I export JUSTIN A BAKER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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