Active NPI
Shelby Kint Bailey, M.D.
- Surgery Physician
- Florence, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 00011545
- Practice address
- 501 E Dr Hicks Blvd Ste a
Florence, AL 35630-5742 - Phone
- (256) 383-0423
- Fax
- (256) 383-0922
- NPI assigned
- Apr 14, 2006
- Last updated
- Sep 16, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 00011545 | AL | Primary |
Addresses
Primary practice location
501 E Dr Hicks Blvd Ste a
Florence, AL 35630-5742
Mailing address
8075 Madison Blvd
Ste 112
Madison, AL 35758-2042
Phone (256) 772-6018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051556654 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00011545 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoals Surgical Group LLC | Surgery | Current | Accepting new patients |
| Vein Clinics of Hawaii LLC | Past | Accepting new patients | |
| Surgical Associates of the Shoals, PC | Past | Accepting new patients | |
| Desselle Surgical Clinic, LLC | Surgery | Past | Accepting new patients |
Locations
501 E Dr Hicks Blvd
Ste A
Florence, AL 35630
Phone (256) 383-0423
8075 Madison Blvd
Ste 112
Madison, AL 35758
Phone (256) 772-6018
203 Avalon Ave
Ste 100
Muscle Shoals, AL 35661
Phone (256) 314-6947
1100 S Jackson Hwy
Ste 101
Sheffield, AL 35660
Phone (256) 381-5955
Organizations & group practices 4
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.
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- NPI 1124082789
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- Sheffield, AL
- NPI 1790879559
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- Kamuela, HI
- NPI 1528307006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1801850995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8075 MADISON BLVD",
"address_2": "STE 112",
"city": "MADISON",
"state": "AL",
"postal_code": "357582042",
"telephone_number": "256-772-6018",
"fax_number": "256-772-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E DR HICKS BLVD STE A",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305742",
"telephone_number": "256-383-0423",
"fax_number": "256-383-0922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "SHELBY",
"middle_name": "KINT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "00011545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051556654",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.