Active NPI
Bailey Miller Bonds, CCC-SLP
- Speech-Language Pathologist
- Southaven, MS
National Provider Identifier
1548045511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5075
- Practice address
- 8626 Airways Blvd
Southaven, MS 38671-2603 - Phone
- (662) 772-5937
- Fax
- (662) 772-5940
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Southaven, MS
- NPI 1912214792
Speech-Language Pathologist
-
- Occupational Therapist
- Hernando, MS
- NPI 1437075413
-
- Pediatric Occupational Therapist
- Hernando, MS
- NPI 1063985885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5075 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desoto Family Counseling Center PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Southern Health Clinic, LLC | Past | Accepting new patients | |
| Southern Pediatric Therapy | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5075 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8626 Airways Blvd
Southaven, MS 38671-2603
Mailing address
8626 Airways Blvd
Southaven, MS 38671-2603
Phone (662) 772-5937
Other practice location 1
1481 Byhalia Rd
Hernando, MS 38632-1003
Phone (662) 469-2906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2024.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1548045511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8626 AIRWAYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386712603",
"telephone_number": "662-772-5937",
"fax_number": "662-775-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8626 AIRWAYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386712603",
"telephone_number": "662-772-5937",
"fax_number": "662-772-5940"
}
],
"practiceLocations": [
{
"address_1": "1481 Byhalia Rd",
"address_purpose": "LOCATION",
"city": "Hernando",
"state": "MS",
"postal_code": "386321003",
"country_code": "US",
"telephone_number": "662-469-2906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONDS",
"first_name": "BAILEY",
"middle_name": "MILLER",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "5075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.