Active NPI
Andrea D Bailey, NP
- Family Nurse Practitioner
- Asheville, NC
National Provider Identifier
1376955906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18817
- Practice address
- 90 Southside Ave
Suite 350
Asheville, NC 28801-4160 - Phone
- (864) 412-0446
- NPI assigned
- Jun 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18817 | SC | |
| Family Nurse Practitioner | 363LF0000X | 18817 | SC | Primary |
Addresses
Primary practice location
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Mailing address
PO Box 890291
Charlotte, NC 28289-0291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2972 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141208000469 | SC | Practitioner - Nurse Practitioner | 4880916527 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18817 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients | |
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Extended Care Physicians - Mountain, PA | Nurse Practitioner | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
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.
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Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1376955906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890291",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282890291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 SOUTHSIDE AVE",
"address_2": "SUITE 350",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014160",
"telephone_number": "864-412-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ANDREA",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "18817",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2972",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.