Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184673584 Individual Practitioner Female Practitioner

Dr. Sandra S Baucom , MD

Pediatrics • Smithfield, VA

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Baucom, MD is a registered healthcare professional specializing in Pediatrics in Smithfield, VA. Practice services are available at 1809 S CHURCH ST STE 302 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1809 S Church St Ste 302

Smithfield, VA 234301861

Telephone 7577808400
Fax 7574323279
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Smithfield, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Smithfield, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101043663

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
006706631 (VA)

Secondary Practice Locations

4012 Raintree Rd, Suite 200a

Chesapeake, VA 233213741

Phone: 7574882223

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 02, 2021

Registered at 1809 S CHURCH ST STE 302, SMITHFIELD, VA 234301861 (Tel: 7577808400)

📍
Updated Business Mailing Address June 02, 2021

Registered at 1809 S CHURCH ST STE 302, SMITHFIELD, VA 234301861 (Tel: 7577808400)

NPI Profile Active June 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2012

Registered at 4012 RAINTREE RD, SUITE 200A, CHESAPEAKE, VA 233213741 (Tel: 7574882223)

📍
Updated Business Mailing Address June 05, 2012

Registered at 4012 RAINTREE RD, SUITE 200A, CHESAPEAKE, VA 233213741 (Tel: 7574882223)

👤
Provider Name / Credentials Updated June 05, 2012

Recorded as SANDRA BAUCOM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2012

Pediatrics (License #0101043663 in VA)

🟢
Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184673584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: June 02, 2021
Sole Proprietor: No

Mailing Address

1809 S Church St Ste 302

Smithfield, VA 234301861

Phone: 7577808400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.