Individual provider Active NPI

Monique Elizabeth Bailey, MD

  • Pediatrics Physician
  • North Augusta, SC
National Provider Identifier
1013432780
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
84570 Issued in SC
Practice address
140 Allen Court
North Augusta, SC 29860
Phone
(803) 510-0007
Fax
(803) 510-0144
NPI assigned
Aug 3, 2017
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11935 GA
Pediatrics Physician 208000000X 84570 SC Primary

Addresses

Primary practice location

140 Allen Court
North Augusta, SC 29860

Mailing address

140 Allen Court
North Augusta, SC 29860
Phone (803) 510-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730000176 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8123443751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84570SCMDPediatrics Physician
11935GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Augusta Pediatrics LLC CurrentSince Sep 5, 2023 Accepting new patients
North Augusta Pediatrics LLC Pediatrics PastSince Sep 5, 2023 Accepting new patients

Locations

140 Allen Ct
North Augusta, SC 29860
Phone (803) 510-0007

Organizations & group practices 2

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": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1013432780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ALLEN COURT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "29860",
            "telephone_number": "803-510-0007",
            "fax_number": "803-510-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ALLEN COURT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "29860",
            "telephone_number": "803-510-0007",
            "fax_number": "803-510-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MONIQUE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2023-08-24",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "11935",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "84570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.