Active NPI
Brandon Bailey
- Clinical Social Worker
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7569
- Practice address
- 2863 Highway 45 Byp
Jackson, TN 38305-3618 - Phone
- (731) 422-0213
- Fax
- (731) 660-8369
- NPI assigned
- Sep 17, 2020
- Last updated
- Mar 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9755 | TN | |
| Clinical Social Worker | 1041C0700X | 7569 | TN | Primary |
Addresses
Primary practice location
2863 Highway 45 Byp
Jackson, TN 38305-3618
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
106 S Liberty St
Jackson, TN 38301-6349
Phone (731) 215-0593
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 74.15
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 78.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7569 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinic PA | Current | Accepting new patients | |
| Jackson Clinic PA | Current | Accepting new patients | |
| Heart of Life Counseling Inc | Clinical | Current | Accepting new patients |
Locations
2863 Highway 45 Byp
Jackson, TN 38305
Phone (731) 664-1375
87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Jackson, TN
- NPI 1831044809
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1285629386
-
dba Jackson Clinc PA DME
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1225644073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-425-5752",
"fax_number": "731-422-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 HIGHWAY 45 BYP",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053618",
"telephone_number": "731-422-0213",
"fax_number": "731-660-8369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-17",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "9755",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.