Individual provider Active NPI

Gregory Norman Bailey, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Naples, FL
National Provider Identifier
1679605505
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
PA9101559 Issued in FL
Practice address
2099 Crestview Way
Naples, FL 34119-3307
Phone
(239) 304-6960
Fax
(239) 260-5411
NPI assigned
Mar 9, 2007
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101559 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X PA9101559 FL Primary

Addresses

Primary practice location

2099 Crestview Way
Naples, FL 34119-3307

Mailing address

2099 Crestview Way
Naples, FL 34119-3307
Phone (239) 304-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040721001032 FL Practitioner - Physician Assistant 6608856638 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Healthcare Systems, Inc CurrentSince Feb 14, 2010 Accepting new patients
Doctor2Home Endocrinology, Diabetes & Metabolism PastSince Mar 7, 2021 Accepting new patients
Cape Coral Hospitalists Inc Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Doctor2Home PastSince Mar 7, 2021 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Alta Health Group LLC PastSince Aug 29, 2018 Accepting new patients

Locations

2724 5th St W
Ste Bc
Lehigh Acres, FL 33971
Phone (239) 303-9298

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18228/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1679605505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 CRESTVIEW WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193307",
            "telephone_number": "239-304-6960",
            "fax_number": "239-260-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 CRESTVIEW WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193307",
            "telephone_number": "239-304-6960",
            "fax_number": "239-260-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "GREGORY",
        "middle_name": "NORMAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101559",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "PA9101559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.