Individual provider Active NPI

Molly Bailey

  • Nurse Practitioner
  • Tifton, GA
National Provider Identifier
1568008787
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN215638 Issued in GA
Practice address
1948 Old Ocilla Rd
Tifton, GA 31794-1644
Phone
(229) 391-3500
NPI assigned
Nov 22, 2019
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN215638 GA Primary
Family Nurse Practitioner 363LF0000X RN215638 GA

Addresses

Primary practice location

1948 Old Ocilla Rd
Tifton, GA 31794-1644

Mailing address

1948 Old Ocilla Rd
Tifton, GA 31794-1644
Phone (229) 391-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tifton Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200922001600 GA Practitioner - Nurse Practitioner 4880012939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Dermatology LLCGroup PAC ID 7719143890, 5 clinicians

Practice addresses (Care Compare)

2410 N Oak St
Valdosta, GA 31602-2533
Phone (229) 241-7546

3 Magnolia CT
Moultrie, GA 31768-6764
Phone (229) 225-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Mar 2, 2026 Accepting new patients
Jpfo, LLC CurrentSince Aug 11, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Mar 2, 2026 Accepting new patients
Cole Dermatology LLC CurrentSince Aug 11, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 1, 2020 Accepting new patients
Phoebe Dorminy Family Care CurrentSince Aug 1, 2020 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2709 Meredyth Dr
Ste 340
Albany, GA 31707
Phone (229) 882-1130

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

3 Magnolia Ct
Moultrie, GA 31768
Phone (229) 225-1900

2410 N Oak St
Valdosta, GA 31602
Phone (229) 241-7546

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1568008787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941644",
            "telephone_number": "229-391-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941644",
            "telephone_number": "229-391-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN215638",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tifton",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1948 Old Ocilla Rd",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317941644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.