Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Travis Jerard Baisden, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1316123359

Mr. Travis Jerard Baisden, PHYSICIANASSISTANT is a Physician Assistant in Marietta, Georgia. Qualified in 2012, 14 years ago. Practices with Minuteclinic LLC, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
14
Licensed in
GA, VA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

3905 Due West Rd NW
Marietta, GA 30064-1019
Phone: (866) 389-2727
Fax: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 — (757) 953-9000
  • 1605 General Booth Blvd, Virginia Beach, VA 23454-5691 — (757) 721-0513

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12525 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0110008196 (VA)

Record details

NPI number1316123359
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 20, 2008
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Minuteclinic Llc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Marietta