Individual provider Active NPI

David Thomas Bailey

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1144742453
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Univ. of S. Alabama Dept. of PA Studies
5721 USA Drive North - Hahn 3124
Mobile, AL 36688
Phone
(251) 445-9334
NPI assigned
Jul 10, 2017
Last updated
Jul 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

Univ. of S. Alabama Dept. of PA Studies
5721 USA Drive North - Hahn 3124
Mobile, AL 36688

Mailing address

5505 Cedarshed CV
Birmingham, AL 35242-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180108003152 AL Practitioner - Physician Assistant 5092074500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
61.85
Promoting interoperability
97
Improvement activities
40
Cost
79.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1275ALMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Jun 1, 2018 Accepting new patients
Nes Tennessee Inc CurrentSince Jun 1, 2018 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Aug 1, 2018 Accepting new patients

Locations

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1144742453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 CEDARSHED CV",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIV. OF S. ALABAMA DEPT. OF PA STUDIES",
            "address_2": "5721 USA DRIVE NORTH - HAHN 3124",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36688",
            "telephone_number": "251-445-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.