Active NPI
Bailey Grade Medical Care, LLC
- Family Medicine Physician
- Madison, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BAILEY GRADE MEDICAL CARE, LLC
- Practice address
- 289 SW Range Ave
Suite C
Madison, FL 32340 - Phone
- (850) 973-2252
- Fax
- (855) 531-6313
- NPI assigned
- Sep 26, 2018
- Last updated
- Jun 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Fulford, ARNPC
- Title
- Manager
- Phone
- (850) 242-2501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
289 SW Range Ave
Suite C
Madison, FL 32340
Mailing address
289 SW Range Ave
Suite C
Madison, FL 32340
Phone (850) 973-2252
National Provider Directory
National Provider DirectoryLocations
289 SW Range Ave
Ste C
Madison, FL 32340
Phone (850) 973-2252
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Madison, FL
- NPI 1376724542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592956800000",
"number": "1356826291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 SW RANGE AVE",
"address_2": "SUITE C",
"city": "MADISON",
"state": "FL",
"postal_code": "32340",
"telephone_number": "850-973-2252",
"fax_number": "855-531-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 SW RANGE AVE",
"address_2": "SUITE C",
"city": "MADISON",
"state": "FL",
"postal_code": "32340",
"telephone_number": "850-973-2252",
"fax_number": "855-531-6313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAILEY GRADE MEDICAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-26",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A",
"authorized_official_last_name": "FULFORD",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "850-242-2501",
"authorized_official_credential": "ARNPC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.