Bay Street Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAY STREET CLINIC LLC

Practice address

403 Bay St
Gadsden, AL 35901-5107

Phone

(256) 546-1011

Fax

(256) 467-3294

NPI assigned

Jun 1, 2021

Last updated

Jun 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Layla Wren, MDNPI 1366674681

Title

Owner

Phone

(256) 546-1011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23678/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Layla Smith Wren, M.D.

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1366674681
  Medicare reassignment NPD Authorized official
• Sandra L Carpenter, M.D.

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1285697425
  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1093381063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015107",
            "telephone_number": "256-546-1011",
            "fax_number": "256-467-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015107",
            "telephone_number": "256-546-1011",
            "fax_number": "256-467-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STREET CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "LAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-546-1011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Darrell Barron, LPTA
• Mackenzie Noelle Bates
• Jeffery Kyle Battles, D.D.S.
• Rachel Baugh
• Eric W Baum, M.D.
• Steven L Bayer, MD
• Steven Beegle
• Africa Roberts Bell, MSW
• Beth M Hughes LCSW Pip
• Bethesda Life Center

• Family Medicine Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.