Individual provider Active NPI

George C Bailey, MD

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1538422779
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R3794 Issued in TX
Practice address
4312 Heritage Trace Pkwy Ste 700
Fort Worth, TX 76244
Phone
(214) 915-8506
Fax
(682) 223-5006
NPI assigned
Jun 22, 2012
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R3794 TX Primary

Addresses

Primary practice location

4312 Heritage Trace Pkwy Ste 700
Fort Worth, TX 76244

Mailing address

3600 Gaston Ave Ste 1205
Dallas, TX 75246-1812
Phone (214) 692-8262

Other identifiers 3

IdentifierTypeStateIssuer
606598YNECOtherTXMEDICARE
606598YND4OtherTXMEDICARE 99
606598YNEDOtherTXMEDICARE DALLAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171101001179 TX Practitioner - Urology 8426201229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Virginia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4312 Heritage Trace Pkwy
Suite 700
Fort Worth, TX 76244-9129
Phone (214) 692-6282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC Urology Current Accepting new patients
Urology Clinics of North Texas, PLLC Urology CurrentSince Sep 1, 2017 Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Sep 1, 2017 Accepting new patients
Urology Clinics of North Texas PLLC Past Accepting new patients

Locations

12606 Greenville Ave
Ste 185
Dallas, TX 75243
Phone (214) 739-1706

3600 Gaston Ave
Ste 1205
Dallas, TX 75246

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265

9900 N Central Expy
Ste 130
Dallas, TX 75231

10932 N Riverside Dr
Ste 100
Fort Worth, TX 76244
Phone (214) 915-8506

4312 Heritage Trace Pkwy
Ste 700
Fort Worth, TX 76244
Phone (214) 692-6282

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150
Phone (214) 692-8262

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

6957 W Plano Pkwy
Ste 1300
Plano, TX 75093
Phone (972) 820-1400

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1538422779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461812",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 HERITAGE TRACE PKWY STE 700",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "214-915-8506",
            "fax_number": "682-223-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R3794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "606598YNEC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE 99",
            "identifier": "606598YND4",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DALLAS",
            "identifier": "606598YNED",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.