Active NPI
Aisha Donine Bailey, D.O.
- Pediatrics Physician
- Tallahassee, FL
National Provider Identifier
1750645255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS13611
- Practice address
- 3375 Capital Cir NE BLDG D
Tallahassee, FL 32308-3778 - Phone
- (850) 878-0229
- Fax
- (850) 942-5837
- NPI assigned
- Jun 28, 2012
- Last updated
- Sep 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS13611 | FL | Primary |
| Pediatrics Physician | 208000000X | 25MB09108000 | NJ |
Addresses
Primary practice location
3375 Capital Cir NE BLDG D
Tallahassee, FL 32308-3778
Mailing address
3375 Capital Cir NE BLDG D
Tallahassee, FL 32308-3778
Phone (850) 878-0229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS13611 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adb Medical Services of N FL LLC | Pediatrics | Current | Accepting new patients |
| Alfreda D. Blackshear, M.D. | Past | Accepting new patients |
Locations
3375 Capital Cir NE
Bldg D
Tallahassee, FL 32308
Phone (850) 385-4346
Organizations & group practices 2
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.
-
dba ASK Pediatric Services LLC
- Pediatrics Physician
- Tallahassee, FL
- NPI 1053815431
-
- Primary Care Clinic/Center
- Tallahassee, FL
- NPI 1861883753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1750645255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 CAPITAL CIR NE BLDG D",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083778",
"telephone_number": "850-878-0229",
"fax_number": "850-942-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 CAPITAL CIR NE BLDG D",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083778",
"telephone_number": "850-878-0229",
"fax_number": "850-942-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "AISHA",
"middle_name": "DONINE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS13611",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB09108000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.