Individual provider Active NPI

Bailey Campbell, AU.D.

  • Audiologist
  • Fort Walton Beach, FL
National Provider Identifier
1265125876
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2713 Issued in FL
Practice address
907 Mar Walt Dr Ste 2012
Fort Walton Beach, FL 32547-6756
Phone
(850) 659-6334
NPI assigned
May 30, 2023
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2713 FL Primary

Addresses

Primary practice location

907 Mar Walt Dr Ste 2012
Fort Walton Beach, FL 32547-6756

Mailing address

3904 Summerwood CT
Niceville, FL 32578-1216
Phone (504) 975-3875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105004407 MO Practitioner - Qualified Audiologist 3971093220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Audiology Center LLCGroup PAC ID 7618225558, 3 clinicians

Practice addresses (Care Compare)

4704 Mexico Rd
Saint Peters, MO 63376-1663
Phone (636) 441-7470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2713FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Audiology Center, LLC Audiologist CurrentSince Oct 20, 2025 Accepting new patients

Locations

13035 Olive Blvd
Ste 107
Creve Coeur, MO 63141
Phone (314) 787-7550

1281 Graham Rd
Ste 303
Florissant, MO 63031

4704 Mexico Rd
Saint Peters, MO 63376
Phone (636) 441-7470

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1265125876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 SUMMERWOOD CT",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781216",
            "telephone_number": "504-975-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2012",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476756",
            "telephone_number": "850-659-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.