Bailey Joe Ferguson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

11821 Issued in MS

Practice address

300 3Rd Ave SE
Magee, MS 39111-3665

Phone

(601) 849-7312

NPI assigned

Oct 20, 2006

Last updated

Nov 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Independent Healthcare Management, Inc.

  dba SE Lackey Memorial Hospital

  • Clinic/Center
  • Forest, MS
  • NPI 1245905405
  NPD (past)
• Independent Healthcare Management, Inc.

  dba S E Lackey Memorial Hospital

  • Critical Access Hospital
  • Forest, MS
  • NPI 1306909734
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1326120056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HICKORY HILLS DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390569795",
            "telephone_number": "601-924-9294",
            "fax_number": "601-924-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113665",
            "telephone_number": "601-849-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BAILEY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "11821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119322",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dental Care
• Family First PCS, LLC Adult Daycare
• Family Health Care Clinic, Inc.
• Family Vision Clinic, Inc.
• Fast Pace Mississippi, PLLC
• Kelli S Fewell, NNP
• Freds Stores of Tennessee Inc (Freds Pharmacy 2231)
• James Ladd Garner, DMD
• Jessica April Garner, CRNP
• Gene Polks Inc (Gene Polks Pharmacy)

• Diagnostic Radiology Physician in Magee, MS
• Providers in Magee, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.