Individual provider Active NPI

John Patrick Bailey, PA-C

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1528587748
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110701 Issued in FL
Practice address
4343 W Newberry Rd Ste 18
Gainesville, FL 32607-2826
Phone
(352) 224-2200
NPI assigned
Sep 19, 2017
Last updated
Sep 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110701 FL Primary

Addresses

Primary practice location

4343 W Newberry Rd Ste 18
Gainesville, FL 32607-2826

Mailing address

4805 NW 2ND PL
Gainesville, FL 32607-2219
Phone (352) 316-4173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171206002855 FL Practitioner - Physician Assistant 2769749316 Reassigns benefits to 1 organization
I20210310002730 CO Practitioner - Physician Assistant 2769749316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elan Sleep LLCGroup PAC ID 8426587742, 20 clinicians

Practice addresses (Care Compare)

1630 Dry Creek Dr
Longmont, CO 80503-6422
Phone (720) 279-9098

1630 Dry Creek Dr
Suite 200
Longmont, CO 80503-6405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9110701FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simed Health LLC CurrentSince Apr 1, 2018 Accepting new patients

Locations

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

4343 Newberry Rd
Ste 18
Gainesville, FL 32607
Phone (352) 224-2200

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

Interoperability endpoints

  • Direct secure messaging: john.bailey.1@31554.direct.athenahealth.com

Organizations & group practices 3

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1528587748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 NW 2ND PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072219",
            "telephone_number": "352-316-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY RD STE 18",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072826",
            "telephone_number": "352-224-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.