Organization Active NPI

Bailey Collective Wellness PLLC

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1245119015
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BAILEY COLLECTIVE WELLNESS PLLC
Practice address
223 Commerce St Ste D
Greenville, NC 27858-5032
Phone
(252) 414-5346
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Logan Bailey SimmonsNPI 1184409062
Title
Organizer
Phone
(252) 414-5346

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

223 Commerce St Ste D
Greenville, NC 27858-5032

Mailing address

223 Commerce St Ste D
Greenville, NC 27858-5032

National Provider Directory

National Provider Directory

Locations

223 Commerce St
Ste D
Greenville, NC 27858
Phone (252) 412-3207

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1245119015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 COMMERCE ST STE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 COMMERCE ST STE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585032",
            "telephone_number": "252-414-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY COLLECTIVE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "252-414-5346"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.