Individual provider Active NPI

Porscha Jaque' Bailey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Decatur, GA
National Provider Identifier
1326560426
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001405 Issued in GA
Practice address
2124 Candler Rd
Decatur, GA 30032-5572
Phone
(404) 836-0272
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001405 GA Primary

Addresses

Primary practice location

2124 Candler Rd
Decatur, GA 30032-5572

Mailing address

2124 Candler Rd
Decatur, GA 30032-5572
Phone (404) 836-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190917002949 GA Practitioner - Podiatry 6406185495 Reassigns benefits to 2 organizations
I20230614001297 TX Practitioner - Podiatry 6406185495 Reassigns benefits to 1 organization
I20250707000521 AL Practitioner - Podiatry 6406185495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians

Practice addresses (Care Compare)

125 Samaritan Dr
Cumming, GA 30040-2354
Phone (877) 674-1211

211 Ana Dr
Florence, AL 35630-1768
Phone (877) 674-1211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue741
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001405GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Podiatry Care PLLC Podiatrist CurrentSince Mar 31, 2025 Accepting new patients
PMR Georgia Holding, LLC CurrentSince Jul 1, 2025 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jun 5, 2023 Accepting new patients
Aria Dental Care PC Past Accepting new patients
Jencare Neighborhood Medical Center West End, LLC PastSince Aug 4, 2014 Accepting new patients

Locations

211 Ana Dr
Florence, AL 35630
Phone (256) 760-9942

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

125 Samaritan Dr
Cumming, GA 30040
Phone (770) 537-4482

2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272

8500 W 110th St
Ste 260
Overland Park, KS 66210
Phone (941) 224-3674

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1326560426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325572",
            "telephone_number": "404-836-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325572",
            "telephone_number": "404-836-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PORSCHA",
        "middle_name": "JAQUE'",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.