Jason Eric Bailey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110002428 Issued in VA

Practice address

2110 Carolina Ave SW FL 3
Roanoke, VA 24014-1742

Phone

(540) 777-1711

Fax

(540) 777-1713

NPI assigned

Oct 25, 2006

Last updated

Jul 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Skin SpecialistsGroup PAC ID 0143494203, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Valley Skin Specialists

  dba River Ridge Dermatology

  • Procedural Dermatology Physician
  • Blacksburg, VA
  • NPI 1588949234
  Medicare reassignment Care Compare group
• Virginia Skin & Vein, LLC

  • Dermatology Physician
  • Roanoke, VA
  • NPI 1023171105
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1760567481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 ELECTRIC RD STE C",
            "address_2": "419 OFFICE CENTER",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184561",
            "telephone_number": "540-777-1711",
            "fax_number": "540-777-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 CAROLINA AVE SW FL 3",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141742",
            "telephone_number": "540-777-1711",
            "fax_number": "540-777-1713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3706 S Main St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607006",
            "country_code": "US",
            "telephone_number": "540-951-3376",
            "fax_number": "540-951-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JASON",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760567481",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurlal Singh Baidwan, D.O.
• Carrie A Bailes, MD
• Benjamin Bailey
• Dewey James Bailey III, MD
• Emily Alexandria Bailey
• Rhiannon Violette Bailey, M.ED., BCBA, LBA
• Ashlyn Baird
• Amanda O. Baker, OTA/L
• Jaimison W Baker, MD
• Joseph W Baker, MD

• Medical Physician Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.