Active NPI
Christopher T Bailey, D.O.
- Family Medicine Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2012-01616
- Practice address
- 3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308 - Phone
- (877) 866-7123
- NPI assigned
- May 5, 2006
- Last updated
- Oct 8, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2012-01616 | NC | Primary |
| Surgery Physician | 208600000X | 02953 | KY | |
| Surgery Physician | 208600000X | 2012-01616 | NC |
Addresses
Primary practice location
3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308
Mailing address
200 Medical Park Dr Ste 400
Concord, NC 28025-0906
Phone (704) 786-1108
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2652320 | Medicaid | OH | |
| 64116171 | Medicaid | KY | |
| 000000494339 | Other | KY | ANTHEM BC &BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-5700
3331 Tate Boulevard SE
Hickory, NC 28602-1455
Phone (877) 866-7123
400 Avinger LN
Davidson, NC 28036-8800
Phone (877) 574-8203
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 310 |
| Removal of skin lesions | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2404 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Post Acute Care Physicians of the Northeast PA | Family Medicine | Current | Accepting new patients |
| Vohra Wound Physicians of Ny, PLLC | Family Medicine | Current | Accepting new patients |
| Paragon Surgical Specialists, PA | Surgery | Current | Accepting new patients |
| Hornsby Family Medicine, LLC | Surgery | Past | Accepting new patients |
| Camden-Clark Physician Corporation | Surgery | Past | Accepting new patients |
Locations
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
200 Medical Park Dr
Ste 400
Concord, NC 28025
Phone (704) 786-1108
717 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 444-6894
6500 McCorkle Ave
Saint Albans, WV 25177
Phone (304) 768-0002
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Bryn Mawr, PA
- NPI 1275969131
WV
-
- Surgery Physician
- Concord, NC
- NPI 1992764351
-
- Surgery Physician
- Parkersburg, WV
- NPI 1710125430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1851349468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK DR STE 400",
"city": "CONCORD",
"state": "NC",
"postal_code": "280250906",
"telephone_number": "704-786-1108",
"fax_number": "704-782-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2012-01616",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "02953",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2012-01616",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2652320",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64116171",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC &BS",
"identifier": "000000494339",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.