Individual provider Active NPI

Steven Hugh Bailey, MD

  • Plastic and Reconstructive Surgery Physician
  • Kennesaw, GA
National Provider Identifier
1083818926
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
75599 Issued in GA
Practice address
3450 Acworth Due West Rd NW
#200
Kennesaw, GA 30144-1001
Phone
(770) 794-6643
NPI assigned
Jun 13, 2007
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 75599 GA
Plastic and Reconstructive Surgery Physician 2086S0122X 75599 GA Primary

Addresses

Primary practice location

3450 Acworth Due West Rd NW
#200
Kennesaw, GA 30144-1001

Mailing address

3450 Acworth Due West Rd NW
#200
Kennesaw, GA 30144-1001
Phone (770) 794-6643

Other identifiers 2

IdentifierTypeStateIssuer
MD457267OtherPAPENNSYLVANIA MEDICAL LICENSE
75599OtherGAGEORGIA MEDICAL LICENSE

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
I20160831001801 GA Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 7113213182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9236 Main St
Suite 3C
Woodstock, GA 30188-3702
Phone (256) 990-8891

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75599GAMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ras Medical Solution, LLC CurrentSince Sep 12, 2020 Accepting new patients
Northwest Georgia Plastic Surgery LLC CurrentSince Feb 21, 2019 Accepting new patients
CPS Infusion, LLC PastSince Feb 10, 2025 Accepting new patients

Locations

5305 Fulton Industrial Blvd SW
Ste C
Atlanta, GA 30336

107 Highland Dr
Fayetteville, GA 30214
Phone (877) 402-6819

7183 Highway 85
Riverdale, GA 30274
Phone (877) 402-6819

9236 Main St
Ste 3C
Woodstock, GA 30188
Phone (256) 990-8891

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1083818926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW",
            "address_2": "#200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441001",
            "telephone_number": "770-794-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW",
            "address_2": "#200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441001",
            "telephone_number": "770-794-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "STEVEN",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "GA",
            "license": "75599",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "75599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAL LICENSE",
            "identifier": "MD457267",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "75599",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.