NPIMap

Individual provider Active NPI

Adija D Bailey, PA-C

  • Medical Physician Assistant
  • Durham, NC
National Provider Identifier
1356659783
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-02540 Issued in NC
Practice address
6011 Fayetteville Rd
Suite 104a
Durham, NC 27713-6248
Phone
(919) 405-2100
Fax
(919) 806-2004
NPI assigned
Sep 20, 2010
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-02540 NC Primary

Addresses

Primary practice location

6011 Fayetteville Rd
Suite 104a
Durham, NC 27713-6248

Mailing address

1600 Perimeter Park Dr
Suite 225
Morrisville, NC 27560-8421

Other identifiers 1

IdentifierTypeStateIssuer
0010-02540OtherNCLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000468 NC Practitioner - Physician Assistant 7618169996 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

7124 Knightdale Blvd
Knightdale, NC 27545-9265
Phone (919) 266-6211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Dec 15, 2020 Accepting new patients
Wake Specialty Physicians LLC CurrentSince May 21, 2018 Accepting new patients
Wake Specialty Physicians LLC CurrentSince May 21, 2018 Accepting new patients
B & D Integrated Health Services CurrentSince Sep 15, 2016 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Dec 15, 2020 Accepting new patients
Unc Physicians Network LLC Past Accepting new patients
Wake Specialty Physicians, LLC Past Accepting new patients

Locations

249 E NC Highway 54
Ste 310
Durham, NC 27713
Phone (919) 753-1080

249 E NC Highway 54
Ste 320
Durham, NC 27713
Phone (919) 753-1080

901 Old Knight Rd
Knightdale, NC 27545
Phone (919) 266-6211

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1356659783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PERIMETER PARK DR",
            "address_2": "SUITE 225",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FAYETTEVILLE RD",
            "address_2": "SUITE 104A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136248",
            "telephone_number": "919-405-2100",
            "fax_number": "919-806-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ADIJA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-02540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0010-02540",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.