Individual provider Active NPI

George Steven Bailes, MD

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1417935339
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10871 Issued in SC
Practice address
105 Powell Mill Rd
Spartanburg, SC 29301-1531
Phone
(864) 574-0070
Fax
(864) 574-0882
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10871 SC Primary

Addresses

Primary practice location

105 Powell Mill Rd
Spartanburg, SC 29301-1531

Mailing address

105 Powell Mill Rd
Spartanburg, SC 29301-1531
Phone (864) 574-0070

Other identifiers 2

IdentifierTypeStateIssuer
080038473OtherRR MCR
108715MedicaidSC

Other names 1

  • Steve Bailes Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000952 SC Practitioner - Family Practice 5991839698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westgate Family Physicians PAGroup PAC ID 6204992712, 7 clinicians

Practice addresses (Care Compare)

105 Powell Mill Rd
Spartanburg, SC 29301-1531
Phone (864) 574-0070

Hospital & facility affiliations

  • Amedisys Home Health of Clinton Home health agency, Clinton, SC, CCN 427116
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10871SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westgate Family Physicians PA Family Medicine CurrentSince Jan 2, 1996 Accepting new patients
Upstate Carolina Radiology PA PastSince Jan 2, 1996 Accepting new patients

Locations

105 Powell Mill Rd
Spartanburg, SC 29301
Phone (864) 574-0070

Interoperability endpoints

  • Direct secure messaging: georgebailes@wfpsc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1417935339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011531",
            "telephone_number": "864-574-0070",
            "fax_number": "864-574-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011531",
            "telephone_number": "864-574-0070",
            "fax_number": "864-574-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILES",
        "first_name": "GEORGE",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "080038473",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108715",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVE",
            "last_name": "BAILES",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.