Bailey Family Care, Inc.
Organization Active NPI Family Medicine Physician · Trinity, FL
NPI 1174049290 · NPPES record last updated Jan 18, 2023
Key facts
- NPI
- 1174049290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS7784 (FL)
- Legal business name
- BAILEY FAMILY CARE, INC.
- Practice address
- 1839 Health Care Dr
Trinity, FL 34655-5363 - Phone
- (727) 312-4445
- NPI assigned
- Aug 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Timothy S. Bailey, DO
- Title
- Physician
- Phone
- (727) 239-2679
Practitioners 13
-
Timothy S Bailey, D.O.
-
James F Coleman, APRN
-
Michale Drew, APRN
-
Kaylin Morris, APRN
-
Arlyn Olivo Rivera, APRN
-
Ana Scott, DNP, FNP-BC
-
Melanie Vargas, NP
-
Daniel Alex Manning, APRN
-
Christina Suzanne Bowen, APRN
-
Barbara W Turpin, DNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2141256 | Bailey Family Care, Inc | Certificate of waiver | Dec 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180313002543 | FL | Part B Supplier - Clinic/Group Practice | 6608138581 |
Receives reassigned benefits from 12 practitioners Practice locations: Trinity, FL |
National Provider Directory
Locations
1248 Seven Springs Blvd
Ste D
Trinity, FL 34655
Phone (727) 239-2679
1839 Health Care Dr
Trinity, FL 34655
Phone (727) 312-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OS7784 | FL | Yes |
Addresses
Primary practice location
1839 Health Care Dr
Trinity, FL 34655-5363
Mailing address
1839 Health Care Dr
Trinity, FL 34655-5363
Phone (727) 312-4445
Other providers in Trinity, FL
- Oluwafunbi Idowu Awoniyi
- Oluwatoyosi Awotorebo
- Tara Axelrod
- Kelly Dorothy Babbie
- Babies and Beyond Pediatrics PA
- Corie L Bailey
- Timothy S Bailey
- Janet Sue Bailie
- Emmaly Heather Baker
- Kristina Ball
All providers in Trinity, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.