Active NPI
Elizabeth W Bailes, M.D.
- Pediatrics Physician
- Brentwood, TN
National Provider Identifier
1346237138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD39422
- Practice address
- 1622 Westgate Cir
Brentwood, TN 37027-8019 - Phone
- (629) 255-2094
- Fax
- (629) 255-4106
- NPI assigned
- Oct 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD39422 | TN | Primary |
Addresses
Primary practice location
1622 Westgate Cir
Brentwood, TN 37027-8019
Mailing address
222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1506386 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD39422 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Medical Associates PC | Current | Accepting new patients |
Locations
1620 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2135
1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609
222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620
Interoperability endpoints
- elizabethbailes@hma.allscriptsdirect.net
- ebailes159679@direct.vumc.org
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1720042021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1346237138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 22ND AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031852",
"telephone_number": "629-255-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 WESTGATE CIR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278019",
"telephone_number": "629-255-2094",
"fax_number": "629-255-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILES",
"first_name": "ELIZABETH",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD39422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506386",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.