Active NPI
Bailey Johnson
- Anesthesiology Physician
- Tyler, TX
National Provider Identifier
1801676697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 1240008
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 606-2668
- Fax
- (903) 606-5448
- NPI assigned
- Sep 29, 2023
- Last updated
- Jun 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1240008 | TX | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
4601 Seminary PL Apt 207
New Orleans, LA 70126-3468
Phone (205) 910-7308
Other practice location 1
1900 Gravier St
New Orleans, LA 70112-2262
Phone (504) 568-4106
Other practice location 2
415 S Fleishel Ave
Tyler, TX 75702-8411
Phone (903) 595-0141
Other practice location 3
910 E Houston St Ste 400
Tyler, TX 75702-8368
Phone (903) 606-4268
Other practice location 4
1720 S Beckham Ave Ste 104
Tyler, TX 75701-4437
Phone (903) 597-2002
Other practice location 5
8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 963993 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1801676697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 SEMINARY PL APT 207",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701263468",
"telephone_number": "205-910-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "903-606-2668",
"fax_number": "903-606-5448"
}
],
"practiceLocations": [
{
"address_1": "1900 Gravier St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122262",
"country_code": "US",
"telephone_number": "504-568-4106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 S Fleishel Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028411",
"country_code": "US",
"telephone_number": "903-595-0141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 E Houston St Ste 400",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028368",
"country_code": "US",
"telephone_number": "903-606-4268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 S Beckham Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757014437",
"country_code": "US",
"telephone_number": "903-597-2002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8389 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757035408",
"country_code": "US",
"telephone_number": "903-606-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "BAILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "1240008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.