Organization Active NPI

Bailey Spine & Wellness, LLC

  • General Practice Physician
  • St Augustine, FL
National Provider Identifier
1255876033
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BAILEY SPINE & WELLNESS, LLC
Practice address
224 Southpark Cir E
Saint Augustine, FL 32086
Phone
(904) 342-4941
Fax
(904) 342-4937
NPI assigned
Jan 3, 2017
Last updated
Jan 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Dr. Jason Arnold Bailey, DCNPI 1871624296
Title
Manager
Phone
(904) 342-4941

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
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

224 Southpark Cir E
Saint Augustine, FL 32086

Mailing address

224 Southpark Cir E
Saint Augustine, FL 32086-5135
Phone (904) 342-4941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170515001297 FL Part B Supplier - Clinic/Group Practice 1052698388 Receives reassigned benefits from 6 practitioners
Practice locations: St Augustine, FL
O20171206003558 FL DME Supplier - Physician - ChiropracticDME Supplier - Physician - General Practice 1052698388 Practice locations: St Augustine, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1255876033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SOUTHPARK CIR E",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865135",
            "telephone_number": "904-342-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SOUTHPARK CIR E",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-342-4941",
            "fax_number": "904-342-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY SPINE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-342-4941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.