MEDICARE: DR. JAMES BAXTER ORR M.D.

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	207YS0123X	Facial Plastic Surgery Physician	025241	GA
2	207Y00000X	Otolaryngology Physician	025241	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	40012425	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	59799	OTHER	GA	BCBS OF GEORGIA
2	514861	OTHER	GA	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	382583	OTHER	GA	USA MANAGED CARE
6	7452824	OTHER	GA	CIGNA

General Provider Information

NPI Number	:	1144228826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES BAXTER ORR M.D.

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	STE 1640
City	:	ATLANTA
State	:	GA
Zip	:	30308-2212
Country	:	US
Telephone Number	:	404-653-0830
Fax Number	:	404-653-0832

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	STE 1640
City	:	ATLANTA
State	:	GA
Zip	:	30308-2212
Country	:	US
Telephone Number	:	404-653-0830
Fax Number	:	404-653-0832

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/09/2017

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