MEDICARE: JOY L BAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	185523	GA

General Provider Information

NPI Number	:	1568316917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY L BAKER

Provider Business Mailing Address
First Line	:	107 LEATHERS CIR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30314-2114
Country	:	US
Telephone Number	:	706-461-6004
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 LEATHERS CIR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30314-2114
Country	:	US
Telephone Number	:	706-461-6004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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