Active NPI
Bailey Whittington Pollock, PA-C
- Medical Physician Assistant
- Little Rock, AR
National Provider Identifier
1437871571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-1110
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1177669 | AR | MD | Dermatology Physician |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.