Baileigh Nycole McKenzie, DMD
Individual provider Active NPI Dentist · Fort Gay, WV
NPI 1295528263 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1295528263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4772 (WV)
- Practice address
- 71 Wayne St
Fort Gay, WV 25514-8518 - Phone
- (304) 648-5544
- NPI assigned
- May 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250728003401 | WV | Practitioner - Dentist | 4284141995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Dentist | Current |
Accepting new patients |
| Valley Health Systems Inc | Past | Accepting new patients |
Locations
71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
Interoperability endpoints
- bmckenzie29655@valleyhealthsystems.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4772 | WV | Yes |
Addresses
Primary practice location
71 Wayne St
Fort Gay, WV 25514-8518
Mailing address
71 Wayne St
Fort Gay, WV 25514-8518
Phone (304) 648-5544
Other providers in Fort Gay, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.