YOUR CHOICE HEALTHCARE- BAXLEY P.C NPI 1790427268

NPI Information

  • NPI: 1790427268
  • Provider Name: YOUR CHOICE HEALTHCARE- BAXLEY, P.C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 11D2238188
  • Address: 388 S MAIN ST
    BAXLEY, GA
    ZIP 31513
  • Phone: (912) 705-9680

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NPI Details

YOUR CHOICE HEALTHCARE- BAXLEY, P.C is a family nurse practitioner in Baxley, GA. YOUR CHOICE HEALTHCARE- BAXLEY, P.C NPI is 1790427268. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

388 S MAIN ST
BAXLEY, GA
ZIP 31513-104
Phone: (912) 705-9680
Fax: (912) 705-0531

The provider's authorized official is Greg Lee Williams .
The authorized official title is Owner and has the following contact phone number (912) 705-9680.

The CLIA number assigned to this NPI record is 11D2238188 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2022 and was last updated on 5/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003120968AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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