Individual provider Active NPI

Elizabeth Ewing Bailey, ACNP

  • Acute Care Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1013941970
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R873439 Issued in MS
Practice address
499 Gloster Creek VLG Ste A2
Suite a-2
Tupelo, MS 38801-4749
Phone
(662) 620-6800
Fax
(662) 620-6950
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R873439 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste A2
Suite a-2
Tupelo, MS 38801-4749

Mailing address

499 Gloster Creek VLG Ste A2
Suite a-2
Tupelo, MS 38801-4749
Phone (662) 620-6800

Other identifiers 1

IdentifierTypeStateIssuer
08124226MedicaidMS

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
I20060313000216 MS Practitioner - Nurse Practitioner 8921047457

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R873439MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oktibbeha County Hospital Current Accepting new patients
Stern Cardiovascular Foundation, Inc Past Accepting new patients
Delta Cardiovascular Center, PC PastSince Jun 29, 1999 Accepting new patients

Locations

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

400 Hospital Rd
Fl 3
Starkville, MS 39759
Phone (662) 615-2791

Interoperability endpoints

  • Direct secure messaging: elizabethbailey@och.allscriptsdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1013941970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE A2",
            "address_2": "SUITE A-2",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014749",
            "telephone_number": "662-620-6800",
            "fax_number": "662-620-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE A2",
            "address_2": "SUITE A-2",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014749",
            "telephone_number": "662-620-6800",
            "fax_number": "662-620-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ELIZABETH",
        "middle_name": "EWING",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R873439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08124226",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.