Individual provider Active NPI

Amy Bailey

  • Family Nurse Practitioner
  • Amory, MS
National Provider Identifier
1003161373
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R877157 Issued in MS
Practice address
900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507
Phone
(662) 256-9331
Fax
(662) 256-9335
NPI assigned
Jul 23, 2012
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R877157 MS Primary

Addresses

Primary practice location

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507

Mailing address

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507
Phone (662) 256-9331

Other identifiers 1

IdentifierTypeStateIssuer
R877157OtherMSMISSISSIPPI BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141120002206 MS Practitioner - Nurse Practitioner 2365664604 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R877157MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Family Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Olive Branch Family Medical Center CurrentSince Mar 3, 2025 Accepting new patients
P&S Primary Care, PLLC PastSince Oct 13, 2019 Accepting new patients
P & S Clinic OB-GYN PLLC PastSince Jun 1, 2007 Accepting new patients
Turner, LLC PastSince Feb 1, 2017 Accepting new patients

Locations

9075 Sandidge Center Cv
Olive Branch, MS 38654
Phone (662) 895-4949

75 Physicians Ln
Southaven, MS 38671
Phone (662) 393-7722

Interoperability endpoints

  • Direct secure messaging: amy.bailey.p1@direct.obfmc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1003161373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD",
            "address_2": "SUITE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-256-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD",
            "address_2": "SUITE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-256-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R877157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI BOARD OF NURSING",
            "identifier": "R877157",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.