David S Bailey, ED.D., ABPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

286 Issued in GA

Practice address

200 W Academy St NW
Suite a
Gainesville, GA 30501-8524

Phone

(770) 535-1284

Fax

(770) 536-3888

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affiliated Psychological & Medical Consultants, LLC

  • Psychologist
  • Gainesville, GA
  • NPI 1174601348

  Clinical, GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1154409449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY ST NW",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018524",
            "telephone_number": "770-535-1284",
            "fax_number": "770-536-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY ST NW",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018524",
            "telephone_number": "770-535-1284",
            "fax_number": "770-536-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "ED.D., ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000041654B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Hood Babcock, OTR/L
• Babies Can'T Wait
• Craig Joseph Baden, MD, MPH
• Alison L Bailey, MD
• David Ray Bailey Jr., M.D.
• Elisabeth Johnson Bailey, RPH
• Jason S. Bailey, MD
• Kelly J Bajsa, MA CCC-SLP
• Amanda Brooke Baker
• Clay Donald Baker, DMD

• All providers in Gainesville, GA
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.