Active NPI
Bailey Middleton, SLP
- Speech-Language Pathologist
- Meridian, MS
National Provider Identifier
1083275853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S4595
- Practice address
- 2606 N Hills St
Meridian, MS 39305-2639 - Phone
- (601) 853-9747
- Fax
- (601) 898-4761
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S4595 | MS | |
| Speech-Language Pathologist | 235Z00000X | S4595 | MS | Primary |
Addresses
Primary practice location
2606 N Hills St
Meridian, MS 39305-2639
Mailing address
7110 Hookston Rd
Meridian, MS 39305-9512
Other practice location 1
1455 N Lakeland Dr
Meridian, MS 39307-9020
Phone (601) 581-8450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4595 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330
2606 N Hills St
Meridian, MS 39305
Phone (601) 409-9442
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.
-
- Physical Therapist
- Louisville, MS
- NPI 1952732448
Speech-Language Pathologist
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1083275853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7110 HOOKSTON RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393059512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 N HILLS ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052639",
"telephone_number": "601-853-9747",
"fax_number": "601-898-4761"
}
],
"practiceLocations": [
{
"address_1": "1455 N Lakeland Dr",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393079020",
"country_code": "US",
"telephone_number": "601-581-8450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDDLETON",
"first_name": "BAILEY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S4595",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S4595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.