Individual provider Active NPI

Travis Lee Bailey, D.O.

  • Pain Medicine Physician
  • Valdosta, GA
National Provider Identifier
1164711313
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
073494 Issued in GA
Practice address
3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone
(229) 247-2290
NPI assigned
Mar 28, 2011
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 5101019452 MI
Anesthesiology Physician 207L00000X 073494 GA
Pain Medicine Physician 208VP0000X 073494 GA Primary

Addresses

Primary practice location

3527 N Valdosta Rd
Valdosta, GA 31602-6418

Mailing address

3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone (229) 247-2290

Other practice location 1

2417 N. Patterson Street
Suite 230
Valdosta, GA 31602
Phone (229) 433-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151030001637 GA Practitioner - Pain Management 9234449497 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians
Valdosta Orthopedic Associates PCGroup PAC ID 8325938491, 21 clinicians

Practice addresses (Care Compare)

2417 N Patterson St
Suite 230a
Valdosta, GA 31602-2512
Phone (229) 433-4340

3520 N Crossing Circle
Valdosta, GA 31602-1067
Phone (229) 242-8394

3526 N Crossing Cir
Valdosta, GA 31602-1067
Phone (229) 247-2290

3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone (229) 247-2290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073494GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Orthopedic Associates PC CurrentSince Jul 3, 2018 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
Valdosta Anesthesia Associates, P.C. CurrentSince May 7, 2019 Accepting new patients
Colquitt Regional Anesthesia, LLC CurrentSince Sep 23, 2015 Accepting new patients
Tift Regional Health System Inc CurrentSince May 11, 2019 Accepting new patients
SGMC Physician Network Inc CurrentSince Sep 1, 2022 Accepting new patients
Tift Regional Health System Inc CurrentSince May 11, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Surgery Center at Cypress Point LLC PastSince Apr 11, 2021 Accepting new patients

Locations

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

3527 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 247-2290

4120 N Valdosta Rd
Ste B
Valdosta, GA 31602
Phone (229) 244-2068

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4
  • Direct secure messaging: tbailey49453@sgmc.gadirect.net
  • Direct secure messaging: travis.bailey.1@11118.direct.athenahealth.com

Organizations & group practices 10

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 3

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": "1707782400000",
    "number": "1164711313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026418",
            "telephone_number": "229-247-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026418",
            "telephone_number": "229-247-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 N. Patterson Street",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "31602",
            "country_code": "US",
            "telephone_number": "229-433-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "TRAVIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101019452",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "073494",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "073494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.