Amanda Heather Bailey, D.O.
Individual provider Active NPI Family Medicine Physician · Mooresville, NC
NPI 1710074273 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1710074273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 201502211 (NC)
- Practice address
- 357 Williamson Rd
Mooresville, NC 28117-5935 - Phone
- (704) 664-7328
- Fax
- (704) 664-7783
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Piedmont Healthcare PA
Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
357 Williamson Rd
Mooresville, NC 28117-5935
Phone (704) 664-7328
7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598
Hospital & facility affiliations
- Gentiva Health Services
- Duke Health Lake Norman Hospital
- Iredell Memorial Hospital Inc
- Novant Health Huntersville Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160115000572 | NC | Practitioner - Family Practice | 3577716802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS014425 | PA | MD | Family Medicine Physician |
| OT011566 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare, PA | Current |
Accepting new patients | |
| Piedmont Healthcare, P.a. | Family Medicine | Current |
Accepting new patients |
Locations
357 Williamson Rd
Mooresville, NC 28117
Phone (704) 664-7328
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277
Interoperability endpoints
- amandabailey@phc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS014425 | PA | |
| Family Medicine Physician | 207Q00000X | OT011566 | PA | |
| Family Medicine Physician | 207Q00000X | 2688 | WV | |
| Family Medicine Physician | 207Q00000X | 201502211 | NC | Yes |
Addresses
Primary practice location
357 Williamson Rd
Mooresville, NC 28117-5935
Mailing address
357 Williamson Rd
Mooresville, NC 28117-5935
Phone (704) 664-7328
Other practice location 1
2890 S Lookout St
Claremont, NC 28610-9528
Phone (828) 459-7324
Other providers in Mooresville, NC
- Sarah Marie Austin
- Amanda Avalos
- Kyle James Babinski
- Back 2 Back Chiropractic Group LLC
- Ashley Elizabeth Bagwell
- Ashley Weisenberger Bailey
- Colleen Marie Bailey
- Jennifer Bailey
- Paul Alexander Baillif
- Nancy E. Baker-Crellin
All providers in Mooresville, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.