Individual provider Active NPI

Mary J Bailey, M.D.

  • Pediatrics Physician
  • Scott Depot, WV
National Provider Identifier
1295953065
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22597 Issued in WV
Practice address
97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9815
Phone
(304) 757-6999
Fax
(304) 201-5019
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41101 KY
Pediatrics Physician 208000000X TP232 KY
Pediatrics Physician 208000000X 22597 WV Primary

Addresses

Primary practice location

97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9815

Mailing address

97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9815
Phone (304) 757-6999

Other practice location 1

5161 Washington St W
Cross Lanes, WV 25313-1535
Phone (304) 722-7600

Other practice location 2

116 Hills Plz
Charleston, WV 25387-2438
Phone (304) 720-4466

Other identifiers 5

IdentifierTypeStateIssuer
22597OtherWVLICENSE
7100017680MedicaidKY
2748389MedicaidOH
3810009259MedicaidWV
TP232OtherKYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000094 WV Practitioner - Pediatric Medicine 5597856559 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41101KYMDPediatrics Physician
22597WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc CurrentSince Oct 4, 2019 Accepting new patients
Women Care Inc Pediatrics CurrentSince Sep 1, 2014 Accepting new patients
Womencare Inc CurrentSince Mar 4, 2022 Accepting new patients
Womencare Inc CurrentSince Jun 20, 2019 Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc CurrentSince Oct 4, 2019 Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients

Locations

2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

812 Park Ave
Rm 35
Charleston, WV 25302

108 Washington St W
#201
Charleston, WV 25302
Phone (304) 757-4845

100 Florida St
Charleston, WV 25302
Phone (304) 348-6613

1500 Greenbrier St
Ste 160
Charleston, WV 25311

108 Washington St W
Ste 201
Charleston, WV 25302
Phone (304) 345-2229

9709 Maccorkle Ave
Charleston, WV 25315

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

812 Park Ave
#35
Charleston, WV 25302
Phone (304) 720-4466

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

501 Stockton St
Charleston, WV 25387
Phone (304) 720-4466

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

301 Washington Ave
Rm 4
Dunbar, WV 25064

301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

3109 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 562-2002

515 Main St
Madison, WV 25130
Phone (304) 369-0393

9709 Maccorkle Ave
#B
Marmet, WV 25315

12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

4513 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 768-7371

12803 Winfield Rd
Winfield, WV 25213
Phone (304) 586-3088

Interoperability endpoints

  • Direct secure messaging: mary.bailey.1@7363.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1295953065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD",
            "address_2": "SUITE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609815",
            "telephone_number": "304-757-6999",
            "fax_number": "304-201-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD",
            "address_2": "SUITE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609815",
            "telephone_number": "304-757-6999",
            "fax_number": "304-201-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5161 Washington St W",
            "address_purpose": "LOCATION",
            "city": "Cross Lanes",
            "state": "WV",
            "postal_code": "253131535",
            "country_code": "US",
            "telephone_number": "304-722-7600",
            "fax_number": "304-722-7610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Hills Plz",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253872438",
            "country_code": "US",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "41101",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "TP232",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "22597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "22597",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017680",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2748389",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009259",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TP232",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.