Individual provider Active NPI

Bailey Whittington Pollock, PA-C

  • Medical Physician Assistant
  • Little Rock, AR
National Provider Identifier
1437871571
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-1110 Issued in AR
Practice address
4220 N Rodney Parham Rd Ste 320
Little Rock, AR 72212-2466
Phone
(501) 246-1042
Fax
(501) 217-3809
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1177669 AR
Medical Physician Assistant 363AM0700X PA-1110 AR Primary

Addresses

Primary practice location

4220 N Rodney Parham Rd Ste 320
Little Rock, AR 72212-2466

Mailing address

4220 N Rodney Parham Rd Ste 320
Little Rock, AR 72212-2466
Phone (501) 246-1042

Other names 1

  • Bailey W Pollock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20221103001569 AR Practitioner - Physician Assistant 0547636151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hayden H Franks MD PAGroup PAC ID 8527107028, 3 clinicians

Practice addresses (Care Compare)

4220 N Rodney Parham Rd
Suite 320
Little Rock, AR 72212-2466
Phone (501) 246-1042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1177669ARMDDermatology Physician

Interoperability endpoints

  • Direct secure messaging: bpollock@directaddress.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1437871571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N RODNEY PARHAM RD STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122466",
            "telephone_number": "501-246-1042",
            "fax_number": "501-217-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N RODNEY PARHAM RD STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122466",
            "telephone_number": "501-246-1042",
            "fax_number": "501-217-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "BAILEY",
        "middle_name": "WHITTINGTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "1177669",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "POLLOCK",
            "middle_name": "W",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.