Brenda D Bailey, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Memphis, TN
NPI 1619239126 · NPPES record last updated Feb 28, 2018
Key facts
- NPI
- 1619239126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 16744 (TN)
- Practice address
- 1068 Cresthaven Rd Ste 110
Memphis, TN 38119-0845 - Phone
- (901) 405-6470
- Fax
- (901) 747-2338
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Providers of America LLC
Practice addresses (Care Compare)
111 Chase St
Byhalia, MS 38611-7395
Phone (662) 838-3670
1730 Dorchester Dr
Southaven, MS 38671-5723
Phone (662) 393-0050
3549 Norriswood Ave
Memphis, TN 38111-5911
Phone (864) 671-0600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180724000944 | TN | Practitioner - Nurse Practitioner | 7214193325 | Reassigns benefits to 2 organizations |
| I20220919003436 | MS | Practitioner - Nurse Practitioner | 7214193325 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Pain Clinics Inc. | Current |
Accepting new patients | |
| Spectrum Pain Clinics, Inc | Current |
Accepting new patients | |
| Health Providers of America, LLC | Current |
Accepting new patients | |
| Spinal Health Care Associates, P.C. | Past |
Accepting new patients |
Locations
111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141
3068 Nail Rd W
Horn Lake, MS 38637
Phone (662) 280-1219
7250 Pleasant Hill Rd
Olive Branch, MS 38654
108 Clarington Dr
Southaven, MS 38671
Phone (662) 349-9043
1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442
230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588
8132 Cordova Rd
Ste 102
Cordova, TN 38016
Phone (901) 751-0939
8132 Cordova Rd
Ste 103
Cordova, TN 38016
Phone (901) 751-0939
8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811
1535 Appling Care Ln
Cordova, TN 38016
Phone (901) 377-7500
200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771
7796 Wolf Trail Cv
Ste 102
Germantown, TN 38138
Phone (901) 624-5020
3549 Norriswood Ave
Memphis, TN 38111
Phone (864) 671-0600
5081 Easley Ave
Millington, TN 38053
Phone (901) 873-3290
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 16744 | TN | Yes |
Addresses
Primary practice location
1068 Cresthaven Rd Ste 110
Memphis, TN 38119-0845
Mailing address
1068 Cresthaven Rd Ste 110
Memphis, TN 38119-0845
Phone (901) 405-6470
Other practice location 1
1540 Appling Care Ln
Ste 105
Cordova, TN 38016-4957
Phone (901) 444-3950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528815 | Medicaid | TN |
Other providers in Memphis, TN
- Wei Bai
- Leonard K Baidoo
- Amelia Purser Bailey
- Arika Denise Bailey
- Ashley Elita Bailey
- Demetria Denise Bailey
- Ebony Kemyatta Bailey
- Emma Bailey
- James E Bailey
- James Ross Bailey
All providers in Memphis, TN · Adult Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.