Individual provider Active NPI

Carly Joy Bailey, FNP-C

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1780135848
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019795 Issued in OH
Practice address
30680 Bainbridge Rd
Cleveland, OH 44139-2282
Phone
(440) 542-5000
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019795 OH Primary

Addresses

Primary practice location

30680 Bainbridge Rd
Cleveland, OH 44139-2282

Mailing address

9706 State Route 305
Garrettsville, OH 44231-9680
Phone (440) 487-9982

Other names 1

  • Miss Carly Joy Genova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170119001220 OH Practitioner - Nurse Practitioner 2668754045 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 953-9600

36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530

7580 Auburn Rd
Concord Township, OH 44077-9617

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019795OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc CurrentSince Mar 26, 2024 Accepting new patients
Community Intensivists, LLC CurrentSince Dec 18, 2017 Accepting new patients
Community Hospitalist, LLC Family CurrentSince Nov 1, 2016 Accepting new patients
Lake Hospital System, Inc CurrentSince Mar 26, 2024 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Lake Hospital System Inc Current Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

11100 Euclid Ave
Cleveland Heights, OH 44106

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

Interoperability endpoints

  • Direct secure messaging: cbailey523848@ehrdirect.uhhospitals.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1780135848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 STATE ROUTE 305",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319680",
            "telephone_number": "440-487-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30680 BAINBRIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441392282",
            "telephone_number": "440-542-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CARLY",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "GENOVA",
            "middle_name": "JOY",
            "prefix": "MISS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.