Active NPI
Mary J Bailey, M.D.
- Pediatrics Physician
- Scott Depot, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22597
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22597 | Other | WV | LICENSE |
| 7100017680 | Medicaid | KY | |
| 2748389 | Medicaid | OH | |
| 3810009259 | Medicaid | WV | |
| TP232 | Other | KY | LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 41101 | KY | MD | Pediatrics Physician |
| 22597 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | 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 | |
| Women Care Inc | Pediatrics | 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 | |
| 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 | |
| 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
- mary.bailey.1@7363.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Scott Depot, WV
- NPI 1194759290
Pediatrics, WV
-
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1316228166
-
- Federally Qualified Health Center (FQHC)
- Winfield, WV
- NPI 1477834216
-
- Federally Qualified Health Center (FQHC)
- Marmet, WV
- NPI 1730671751
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.