Individual provider Active NPI

Amanda Joan Bailey, D.O.

  • Surgery Physician
  • Richmond, VA
National Provider Identifier
1114226313
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0102206125 Issued in VA
Practice address
7611 Forest Ave Ste 206
Richmond, VA 23229-4946
Phone
(804) 968-4435
NPI assigned
Mar 28, 2011
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0102206125 VA Primary

Addresses

Primary practice location

7611 Forest Ave Ste 206
Richmond, VA 23229-4946

Mailing address

7611 Forest Ave Ste 206
Richmond, VA 23229-4946
Phone (804) 968-4435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20201021002378 VA Practitioner - General Surgery 6002187960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henrico Surgical Specialists LLCGroup PAC ID 3375680234, 28 clinicians

Practice addresses (Care Compare)

7611 Forest Ave
Suite 206
Henrico, VA 23229-4946
Phone (804) 968-4435

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102206125VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Surgical Specialists, LLC Surgery CurrentSince Jul 17, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

110 N Robinson St
Ste 303
Richmond, VA 23220
Phone (804) 200-1950

7611 Forest Ave
Ste 206
Richmond, VA 23229
Phone (804) 968-4435

Interoperability endpoints

  • Direct secure messaging: amanda.bailey.p127@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: amanda.bailey@hca6.eclinicaldirectplus.com

Organizations & group practices 1

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 1

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1114226313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 FOREST AVE STE 206",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294946",
            "telephone_number": "804-968-4435",
            "fax_number": "804-968-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 FOREST AVE STE 206",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294946",
            "telephone_number": "804-968-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "AMANDA",
        "middle_name": "JOAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102206125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.