Active NPI
Allan Harold Bailey, M.D.
- Gastroenterology Physician
- Nashville, TN
National Provider Identifier
1396739140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD0000017191
- Practice address
- 2010 Church Street
Suite 420
Nashville, TN 37203-2010 - Phone
- (615) 329-2141
- Fax
- (615) 321-0522
- NPI assigned
- Sep 8, 2005
- Last updated
- Dec 16, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD0000017191 | TN | Primary |
Addresses
Primary practice location
2010 Church Street
Suite 420
Nashville, TN 37203-2010
Mailing address
104 Woodmont Blvd
Suite LL50
Nashville, TN 37205-2245
Phone (615) 386-2361
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3019996 | Medicaid | TN | |
| 3019995 | Medicaid | TN | |
| 100007065 | Other | TN | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| MD0000017191 | TN | MD | Gastroenterology Physician |
| 17191 | TN | MD | Acute Care Nurse Practitioner |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Nashville, TN
- NPI 1659302479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1396739140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WOODMONT BLVD",
"address_2": "SUITE LL50",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052245",
"telephone_number": "615-386-2361",
"fax_number": "615-386-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 CHURCH STREET",
"address_2": "SUITE 420",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032010",
"telephone_number": "615-329-2141",
"fax_number": "615-321-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ALLAN",
"middle_name": "HAROLD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "MD0000017191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3019996",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3019995",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100007065",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.