Active NPI
Candace A Bailey, ATC
- Athletic Trainer
- Milledgeville, GA
National Provider Identifier
1164863239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT002279
- Practice address
- 111 N Clark St
Campus Box 65
Milledgeville, GA 31061-3321 - Phone
- (478) 445-1787
- NPI assigned
- Jul 17, 2013
- Last updated
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT002279 | GA | Primary |
Addresses
Primary practice location
111 N Clark St
Campus Box 65
Milledgeville, GA 31061-3321
Mailing address
4040 Cook Springs Rd
Pell City, AL 35125-4446
Phone (205) 473-5562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT002279 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1164863239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 COOK SPRINGS RD",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351254446",
"telephone_number": "205-473-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N CLARK ST",
"address_2": "CAMPUS BOX 65",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310613321",
"telephone_number": "478-445-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "CANDACE",
"middle_name": "A",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT002279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milledgeville, GA
- Appeal Case Management, LLC
- Stephanie Ard, NP
- Tyeisha Arnold
- Augusta Prosthetics & Orthotics, Inc (Augusta Orthotics and Prosthetics, Inc)
- Jessica Brooke Bache, FNP-C
- Tammy Haskins Bailey, NP
- Nyimansatou Bajo-Roberts
- Baldwin County Board of Education
- Baldwin County EMS
- Baldwin County Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.