Baili Rose Bailey, PA-C
Individual provider Active NPI Physician Assistant · Georgetown, KY
NPI 1760200414 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1760200414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- TC062 (KY)
- Practice address
- 210 Bevins LN Ste C
Georgetown, KY 40324-6127 - Phone
- (502) 868-0622
- Fax
- (502) 868-9097
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
210 Bevins LN
Georgetown, KY 40324-6127
210 Bevins LN C
Georgetown, KY 40324-6127
Phone (502) 868-0622
96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305
Hospital & facility affiliations
- Baptist Health Lexington
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114002925 | KY | Practitioner - Physician Assistant | 0143754028 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
210 Bevins Ln
Ste C
Georgetown, KY 40324
Phone (502) 868-0622
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC062 | KY | Yes |
Addresses
Primary practice location
210 Bevins LN Ste C
Georgetown, KY 40324-6127
Mailing address
210 Bevins LN Ste C
Georgetown, KY 40324-6127
Phone (502) 868-0622
Other names
- Baili Rose Smith
Other providers in Georgetown, KY
- Channa Brooke Arnett
- Johnathan David Arthur
- Sarah Atkins
- Sarah E. Ayers
- Back 2 Life Chiropractic, PSC
- Shannon Dale Bailey
- Ajwa Bajwa
- Barbara S. Baker
- Daniel Ryan Baker
- John Max Baker
All providers in Georgetown, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. 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.