Individual provider Active NPI

Jordan Michael Bailey, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1841702875
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3409 Worth St Ste 300
Dallas, TX 75246-2039
Phone
(214) 820-8350
NPI assigned
Oct 31, 2017
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

3409 Worth St Ste 300
Dallas, TX 75246-2039

Mailing address

2804 Trophy Dr
Plano, TX 75025-2427
Phone (214) 551-0759

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbailey296692@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171213002344 TX Practitioner - Physician Assistant 7315205788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3409 Worth St
300 Spine Surgery Center
Dallas, TX 75246-2039
Phone (214) 865-1350

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

6800 Scenic Dr
Suite 1071
Rowlett, TX 75088-4552
Phone (972) 535-2946

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 13, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 13, 2018 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3409 Worth St
Ste 300
Dallas, TX 75246
Phone (214) 820-8350

3600 Gaston Ave
Ste 558
Dallas, TX 75246

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5220 McKinney Ave
Ste 220
Dallas, TX 75205

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

900 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 921-6166

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

2020 W State Highway 114
Ste 340
Grapevine, TX 76051
Phone (281) 744-6708

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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.

Hospital & facility affiliations 3

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1841702875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 TROPHY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750252427",
            "telephone_number": "214-551-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462039",
            "telephone_number": "214-820-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-31",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbailey296692@direct.sw.org",
            "affiliation": "N",
            "address_1": "3409 Worth St Ste 300",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.