Individual provider Active NPI

Allison Miller Bailey, CFNP

  • Family Nurse Practitioner
  • Ecru, MS
National Provider Identifier
1386877561
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R865082 Issued in MS
Practice address
7618 Hwy 15 North
Ecru, MS 38841
Phone
(662) 489-6522
Fax
(662) 234-4749
NPI assigned
Sep 3, 2009
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R865082 MS Primary

Addresses

Primary practice location

7618 Hwy 15 North
Ecru, MS 38841

Mailing address

7618 Hwy 15 North
Ecru, MS 38841
Phone (662) 489-6522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100426000220 MS Practitioner - Nurse Practitioner 8527195429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friendship Medical Clinic LLCGroup PAC ID 0648275024, 9 clinicians

Practice addresses (Care Compare)

509 State Hwy 15 S
New Albany, MS 38652-4502
Phone (662) 534-4330

5482 Hwy 15 N
Ecru, MS 38841-8471
Phone (662) 488-8799

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Friendship Medical Clinic, LLC CurrentSince Nov 21, 2018 Accepting new patients
Alliance Rehabilitation, Inc Past Accepting new patients

Locations

5482 Highway 15 N
Ecru, MS 38841
Phone (662) 256-9730

509 State Highway 15 S
New Albany, MS 38652
Phone (662) 534-4330

4127 W Main St
Tupelo, MS 38801
Phone (662) 269-3191

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGAACA

Organizations & group practices 3

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 1

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1386877561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 HWY 15 NORTH",
            "city": "ECRU",
            "state": "MS",
            "postal_code": "38841",
            "telephone_number": "662-489-6522",
            "fax_number": "662-234-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 HWY 15 NORTH",
            "city": "ECRU",
            "state": "MS",
            "postal_code": "38841",
            "telephone_number": "662-489-6522",
            "fax_number": "662-234-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ALLISON",
        "middle_name": "MILLER",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ecru, MS

Sources for this page

Verify at the official NPI Registry.