NPI age
13 years
Enumerated 2013-04-08
● Active
Type 1 · Individual
Coney Bae, M.D.
Bae is 1 of 12 surgery providers in Lagrange and 1 of 1389 in Georgia.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-09-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Practice location
1600 Vernon Rd Ste A
Lagrange, GA 302404143
Mailing address
1600 Vernon Rd Ste A
Lagrange, GA 302404143
Additional practice locations
1 secondary location on file with NPPES.
Location 2
6405 N Federal Hwy Ste 300
Fort Lauderdale, FL 333081414
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 100073600 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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