NPIMap

Organization Active NPI

John Bailey, D.O., LLC

  • Psychiatry Physician
  • Tallahassee, FL
National Provider Identifier
1184015067
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS5349 Issued in FL
Legal business name
JOHN BAILEY, D.O., LLC
Practice address
1804 Miccosukee Commons Dr
Suite 204
Tallahassee, FL 32308-5470
Phone
(850) 383-9991
Fax
(850) 383-9993
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
John Temple Bailey, D.O.NPI 1437115813
Title
Owner
Phone
(850) 383-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X OS5349 FL Primary

Addresses

Primary practice location

1804 Miccosukee Commons Dr
Suite 204
Tallahassee, FL 32308-5470

Mailing address

1804 Miccosukee Commons Dr
Suite 204
Tallahassee, FL 32308-5470
Phone (850) 383-9991

National Provider Directory

National Provider Directory

Locations

1804 Miccosukee Commons Dr
Ste 204
Tallahassee, FL 32308
Phone (850) 383-9991

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1184015067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 MICCOSUKEE COMMONS DR",
            "address_2": "SUITE 204",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085470",
            "telephone_number": "850-383-9991",
            "fax_number": "850-383-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 MICCOSUKEE COMMONS DR",
            "address_2": "SUITE 204",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085470",
            "telephone_number": "850-383-9991",
            "fax_number": "850-383-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BAILEY, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TEMPLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-383-9991",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS5349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.