Individual provider Active NPI

Renee Nichols Bailey, FNPC

  • Family Nurse Practitioner
  • Fort Valley, GA
National Provider Identifier
1407018872
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP107764 Issued in GA
Practice address
209 N Camellia Blvd
Fort Valley, GA 31030-3368
Phone
(478) 822-0054
Fax
(478) 822-0059
NPI assigned
Jun 27, 2008
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 APRN-NP107764 GA Primary

Addresses

Primary practice location

209 N Camellia Blvd
Fort Valley, GA 31030-3368

Mailing address

209 N Camellia Blvd
Fort Valley, GA 31030-3368
Phone (478) 822-0054

Other identifiers 1

IdentifierTypeStateIssuer
003147242AMedicaidGA

Other names 1

  • Alison Renee Rhodes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20221102001060 GA Practitioner - Nurse Practitioner 1951778034 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP107764GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jul 30, 2025 Accepting new patients
Medplus Immediate Care General Practice CurrentSince Sep 2, 2022 Accepting new patients
Southeast Medical Group, P.C. CurrentSince May 1, 2024 Accepting new patients
Careconnect Health, Inc. CurrentSince Jul 30, 2025 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

1006 Hillcrest Pkwy
Ste 1
Dublin, GA 31021
Phone (478) 272-4544

1022 Hillcrest Pkwy
Ste 104
Dublin, GA 31021
Phone (478) 205-5227

1101 Hillcrest Pkwy
Ste L
Dublin, GA 31021
Phone (478) 800-3524

209 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 822-0054

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

5585 Thomaston Rd
Ste A600
Macon, GA 31220
Phone (478) 219-9514

1115 Morningside Dr
Perry, GA 31069
Phone (478) 988-3060

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

1531 Watson Blvd
Warner Robins, GA 31093
Phone (478) 599-0110

1719 Russell Pkwy
Ste 700
Warner Robins, GA 31088
Phone (478) 328-0806

2054 Watson Blvd
Warner Robins, GA 31093
Phone (478) 918-0770

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1407018872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CAMELLIA BLVD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303368",
            "telephone_number": "478-822-0054",
            "fax_number": "478-822-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N CAMELLIA BLVD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303368",
            "telephone_number": "478-822-0054",
            "fax_number": "478-822-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "RENEE",
        "middle_name": "NICHOLS",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP107764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147242A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "RHODES",
            "middle_name": "RENEE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Valley, GA

Sources for this page

Verify at the official NPI Registry.