Provider Demographics
NPI:1508866153
Name:BAPTISTE, JODI BAYLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:BAYLEY
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JODI
Other - Middle Name:HELENE
Other - Last Name:BAYLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-2424
Mailing Address - Fax:301-816-7119
Practice Address - Street 1:1221 MERCANTILE LN
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5374
Practice Address - Country:US
Practice Address - Phone:703-359-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA57575207Q00000X
GA057575207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA113877881AMedicaid
GAP00401474OtherRAILROAD MEDICARE
GAP00401474OtherRAILROAD MEDICARE
GA113877881AMedicaid