MEDICARE: DR. JODI BAYLEY BAPTISTE 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	207Q00000X	Family Medicine Physician	57575	GA
2	207Q00000X	Family Medicine Physician	057575	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00401474	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508866153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JODI BAYLEY BAPTISTE M.D.

Provider Business Mailing Address
First Line	:	2101 E JEFFERSON ST
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-2424
Fax Number	:	301-816-7119

Provider Business Practice Location Address
First Line	:	1221 MERCANTILE LN
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-5374
Country	:	US
Telephone Number	:	703-359-7878
Fax Number	:

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	02/28/2022

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