Individual provider Active NPI

Bailee Rayborn, DNP, FNP-BC

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1649976200
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905779 Issued in MS
Practice address
8950 Lorraine Rd
Gulfport, MS 39503-4177
Phone
(228) 396-3238
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905779 MS Primary

Addresses

Primary practice location

8950 Lorraine Rd
Gulfport, MS 39503-4177

Mailing address

8950 Lorraine Rd
Gulfport, MS 39503-4177
Phone (228) 396-3238

Other practice location 1

12259 Highway 49
Gulfport, MS 39503-2882
Phone (228) 396-3179

Other practice location 2

833 Highway 90 Ste 17
Bay Saint Louis, MS 39520-1601
Phone (228) 396-3141

Other practice location 3

920 Tommy Munro Dr
Biloxi, MS 39532-2150
Phone (228) 396-3167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230301001259 MS Practitioner - Nurse Practitioner 3173996741 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 16, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 16, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients

Locations

833 Highway 90
Ste 17
Bay St Louis, MS 39520
Phone (228) 396-3141

920 Tommy Munro Dr
Biloxi, MS 39532
Phone (228) 392-7046

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

8950 Lorraine Rd
Gulfport, MS 39503
Phone (228) 396-3238

12259 Highway 49
Gulfport, MS 39503
Phone (228) 392-7046

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: bailee.rayborn.1@30072.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1649976200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 LORRAINE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034177",
            "telephone_number": "228-396-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 LORRAINE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034177",
            "telephone_number": "228-396-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12259 Highway 49",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395032882",
            "country_code": "US",
            "telephone_number": "228-396-3179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Highway 90 Ste 17",
            "address_purpose": "LOCATION",
            "city": "Bay Saint Louis",
            "state": "MS",
            "postal_code": "395201601",
            "country_code": "US",
            "telephone_number": "228-396-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Tommy Munro Dr",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395322150",
            "country_code": "US",
            "telephone_number": "228-396-3167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBORN",
        "first_name": "BAILEE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.