Individual provider Active NPI

Brian Marcus Bailey, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Savannah, GA
National Provider Identifier
1609801810
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
057930 Issued in GA
Practice address
5354 Reynolds St Ste 102
Savannah, GA 31405-6008
Phone
(912) 819-0500
Fax
(912) 819-0501
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 057930 GA Primary

Addresses

Primary practice location

5354 Reynolds St Ste 102
Savannah, GA 31405-6008

Mailing address

602 E 72ND St
Savannah, GA 31405-4913
Phone (912) 819-7878

Other practice location 1

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-2030

Other practice location 2

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-2030

Other identifiers 3

IdentifierTypeStateIssuer
057930OtherGAGEORGIA MEDICAL LICENSE
1609801810MedicaidMO
289814MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060726000140 GA Practitioner - Thoracic Surgery 8426061060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Virginia Commonwealth University, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group LLCGroup PAC ID 6204089352, 9 clinicians

Practice addresses (Care Compare)

5354 Reynolds St
Suite 102
Savannah, GA 31405-6008
Phone (912) 819-0500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 1, 2018 Accepting new patients
MPPG, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Saint Joseph's Hospital, Inc. Past Accepting new patients
Candler Medical Oncology Practice, LLC Past Accepting new patients

Locations

5354 Reynolds St
Ste 102
Savannah, GA 31405
Phone (912) 355-2116

11700 Mercy Blvd
Ste A
Savannah, GA 31419
Phone (912) 819-0500

602 E 72nd St
Savannah, GA 31405
Phone (912) 819-7800

225 Candler Dr
Ste 201
Savannah, GA 31405
Phone (912) 692-2000

11806 Mercy Blvd
Savannah, GA 31419
Phone (912) 921-8926

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

225 Candler Dr
Ste 301
Savannah, GA 31405
Phone (912) 354-8014

11700 Mercy Blvd
Ste 1A
Savannah, GA 31419
Phone (912) 819-0500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bbailey189975@directb.mercy.net
  • Direct secure messaging: drbail@direct.sjchs.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/candler-47b034e8

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609801810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 72ND ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054913",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056008",
            "telephone_number": "912-819-0500",
            "fax_number": "912-819-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-2030",
            "fax_number": "912-350-2298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-2030",
            "fax_number": "912-350-2298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRIAN",
        "middle_name": "MARCUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "057930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "057930",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609801810",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289814",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.