NPIMap

Individual provider Active NPI

Shelley Bailey, MD

  • Family Medicine Physician
  • Hurricane, WV
National Provider Identifier
1750341814
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21164 Issued in WV
Practice address
3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526-9705
Phone
(304) 760-6040
Fax
(304) 760-6042
NPI assigned
Mar 24, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21164 WV Primary

Addresses

Primary practice location

3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526-9705

Mailing address

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

Other identifiers 3

IdentifierTypeStateIssuer
1810211000MedicaidWV
P00304367OtherWVMEDICARE-RR PROVIDER NUMBER
2511893MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000717 WV Practitioner - Family Practice 7618938481 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

1400 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-1700

2585 3Rd Ave
Huntington, WV 25703-1642

3729 Teays Valley Rd
Hurricane, WV 25526-9645
Phone (304) 760-6040

3751 Teays Valley Rd
Hurricane, WV 25526-9645
Phone (304) 982-7031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21164WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. Family Medicine CurrentSince Jan 15, 2020 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Mar 5, 2013 Accepting new patients
Valley Health Systems, Inc. Family Medicine CurrentSince Oct 20, 2014 Accepting new patients
Valley Health Systems Inc Family Medicine CurrentSince Mar 5, 2013 Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Lincoln County Primary Care Center, Inc Past Accepting new patients
Valley Health Systems Inc Family Medicine Past Accepting new patients

Locations

864 Oakwood Rd
Charleston, WV 25314
Phone (304) 343-2807

1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

3729 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 760-6040

3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 760-6040

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

Interoperability endpoints

  • Direct secure messaging: sbailey20404@valleyhealthsystems.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1750341814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 TEAYS VALLEY RD",
            "address_2": "STE 100",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269705",
            "telephone_number": "304-760-6040",
            "fax_number": "304-760-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHELLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810211000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RR PROVIDER NUMBER",
            "identifier": "P00304367",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2511893",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.