Individual provider Active NPI

Brenda D Bailey, NP-C

  • Adult Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1619239126
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
16744 Issued in 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
Last updated
Feb 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 16744 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180724000944 TN Practitioner - Nurse Practitioner 7214193325 Reassigns benefits to 2 organizations
I20220919003436 MS Practitioner - Nurse Practitioner 7214193325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16744TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Pain Clinics, Inc CurrentSince Apr 2, 2018 Accepting new patients
Spectrum Pain Clinics Inc. CurrentSince Apr 2, 2018 Accepting new patients
Health Providers of America, LLC CurrentSince Jun 28, 2002 Accepting new patients
Spinal Health Care Associates, P.C. PastSince Aug 11, 2009 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

1535 Appling Care Ln
Cordova, TN 38016
Phone (901) 203-5228

8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811

8132 Cordova Rd
Ste 102
Cordova, TN 38016
Phone (901) 751-0939

8132 Cordova Rd
Ste 103
Cordova, TN 38016
Phone (901) 751-0939

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1619239126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190845",
            "telephone_number": "901-405-6470",
            "fax_number": "901-747-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190845",
            "telephone_number": "901-405-6470",
            "fax_number": "901-747-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Appling Care Ln",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380164957",
            "country_code": "US",
            "telephone_number": "901-444-3950",
            "fax_number": "901-444-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRENDA",
        "middle_name": "D",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "16744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.