Active NPI
Meagan Bailie
- Behavior Analyst
- Bluffton, SC
National Provider Identifier
1619645264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 01-21-11973
- Practice address
- 119 Palmetto Way Ste B
Bluffton, SC 29910-9629 - Phone
- (800) 832-9419
- Fax
- (855) 859-1671
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 01-21-11973 | Primary |
Addresses
Primary practice location
119 Palmetto Way Ste B
Bluffton, SC 29910-9629
Mailing address
3121 N Oak Street Ext
Valdosta, GA 31602-1099
Phone (800) 832-9419
Other practice location 1
740 E General Stewart Way Ste 101
Hinesville, GA 31313-2636
Phone (800) 832-9419
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Behavioral & Developmental Consultants LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Valdosta, GA
- NPI 1134553985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1619645264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 N OAK STREET EXT",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021099",
"telephone_number": "800-832-9419",
"fax_number": "855-859-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 PALMETTO WAY STE B",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299109629",
"telephone_number": "800-832-9419",
"fax_number": "855-859-1671"
}
],
"practiceLocations": [
{
"address_1": "740 E General Stewart Way Ste 101",
"address_purpose": "LOCATION",
"city": "Hinesville",
"state": "GA",
"postal_code": "313132636",
"country_code": "US",
"telephone_number": "800-832-9419",
"fax_number": "855-859-1671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILIE",
"first_name": "MEAGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "01-21-11973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.