Garrick Keith Bailey, MD
Individual provider Active NPI Pediatrics Physician · Baldwin, GA
NPI 1104806009 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1104806009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 041507 (GA)
- Practice address
- 155 Professional Dr
Baldwin, GA 30511-4000 - Phone
- (706) 776-2368
- Fax
- (706) 776-2589
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080512000040 | GA | Practitioner - Pediatric Medicine | 4587743885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic, PC | Pediatrics | Current |
Accepting new patients |
| The Longstreet Clinic PC | Current |
Accepting new patients |
Locations
155 Professional Dr
Baldwin, GA 30511
Phone (706) 776-2368
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200
4095 S Lee St
Buford, GA 30518
Phone (770) 932-8519
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
4019 Executive Dr
Oakwood, GA 30566
Phone (770) 533-6500
Interoperability endpoints
- garrick.bailey@longstreetclinic.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 041507 | GA | Yes |
Addresses
Primary practice location
155 Professional Dr
Baldwin, GA 30511-4000
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other practice location 1
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 535-3611
Other practice location 2
1270 Friendship Rd
Braselton, GA 30517-5608
Phone (678) 207-4200
Other practice location 3
4019 Executive Drive
Oakwood, GA 30566-3433
Phone (770) 533-6500
Other practice location 4
1400 River Pl
Braselton, GA 30517-5600
Phone (770) 535-3611
Other practice location 5
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 535-3611
Other practice location 6
4095 S Lee St
Buford, GA 30518-3647
Phone (770) 932-8519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52581168 | Other | GA | BCBS |
| 756400 | Other | GA | WELLCARE |
| 302389 | Other | GA | WELLCARE |
| 000707176A | Medicaid | GA | |
| 000707176C | Medicaid | GA | |
| 000707176B | Medicaid | GA | |
| 2031816 | Other | GA | AETNA HMO |
| 302374 | Other | GA | WELLCARE |
| 302381 | Other | GA | WELLCARE |
| 302388 | Other | GA | WELLCARE |
| 5363212 | Other | GA | AETNA PPO |
| 5486464 | Other | GA | CIGNA |
| 000707176D | Medicaid | GA | |
| 1200031 | Other | GA | UNITED HEALTHCARE |
| 10032963 | Other | GA | AMERIGROUP |
Other providers in Baldwin, GA
All providers in Baldwin, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.