Active NPI
Dylan Priddy Bailey
- Physician Assistant
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5500
- Practice address
- 5424 Discovery Park Blvd
Building B, Suite 104
Williamsburg, VA 23188 - Phone
- (757) 206-1113
- NPI assigned
- Jun 2, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA20181 | TX | |
| Physician Assistant | 363A00000X | 5500 | TN | Primary |
Addresses
Primary practice location
5424 Discovery Park Blvd
Building B, Suite 104
Williamsburg, VA 23188
Mailing address
5424 Discovery Park Blvd
Building B, Suite 104
Williamsburg, VA 23188
Phone (757) 206-1113
Other practice location 1
2240 Gulf Fwy S Ste 2.110
League City, TX 77573-5143
Phone (832) 505-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AL, TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4125 Ironbound Rd
Suite 200
Williamsburg, VA 23188-2666
Phone (757) 345-2829
704 Thimble Shoals Blvd
300A
Newport News, VA 23606-4554
Phone (757) 595-4300
860 Omni Blvd
Newport News, VA 23606-4430
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients | |
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients |
Locations
860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138
827 Diligence Dr
Ste 100
Newport News, VA 23606
704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300
860 Omni Blvd
Ste 401
Newport News, VA 23606
Phone (757) 232-8764
729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1659366649
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1023539376
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1669900643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5424 DISCOVERY PARK BLVD",
"address_2": "BUILDING B, SUITE 104",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "23188",
"telephone_number": "757-206-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5424 DISCOVERY PARK BLVD",
"address_2": "BUILDING B, SUITE 104",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "23188",
"telephone_number": "757-206-1113"
}
],
"practiceLocations": [
{
"address_1": "2240 Gulf Fwy S Ste 2.110",
"address_purpose": "LOCATION",
"city": "League City",
"state": "TX",
"postal_code": "775735143",
"country_code": "US",
"telephone_number": "832-505-1600",
"fax_number": "281-309-0147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "DYLAN",
"middle_name": "PRIDDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA20181",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "5500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.