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Dr. Rita G. Baens-Bailon , MD

Pediatrics • Duluth, GA

Active NPI 1205894250 Individual Practitioner Female Practitioner
Practice location in NPPES

3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center
Duluth, GA 30096

Call 7709316010 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3650 Steve Reynolds Blvd.
Kaiser Permanente Gwinnett Medical Center

Duluth, GA 30096

Telephone 7709316010

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Baens-Bailon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Baens-Bailon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Duluth and Georgia

47 active clinicians are listed under Pediatrics with a practice address in Duluth, GA (2,258 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

2.1% of these 47 clinicians have the CMS telehealth indicator.

2.1% of these 47 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES GA 037474

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES GA 037474

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
000557631H (GA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20161011001786

Enrollment State Jurisdiction

GA

PECOS Control ID

5799815437

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
NPI 1164460283

Doctor of Medicine (M.D.)

NPI 1619026440

Doctor of Medicine (M.D.)

Dr. William Craven , MD

Orthopaedic Surgery - Sports Medicine

NPI 1659360568

Doctor of Medicine (M.D.)

Dr. Marcus Griffith , MD

Psychiatry & Neurology - Psychiatry

NPI 1265598163

Doctor of Medicine (M.D.)

NPI 1750676060

Doctor of Optometry

Dr. Ramesh Kumar , MD

Psychiatry & Neurology - Neurology

NPI 1528058179

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated May 01, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1205894250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: April 20, 2010
Sole Proprietor: No

Other Pediatrics Specialists in Duluth

Healthcare providers in Duluth

Mailing Address

3495 Piedmont Road, Ne, Nine Piedmont Center

Atlanta, GA 30305

Phone: 4043647070

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.