Active NPI
Anietra Deneen Lashawn Bailey, MD
- Family Medicine Physician
- Waxhaw, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2023-01046
- Practice address
- 3614 Providence Rd S Ste 200
Waxhaw, NC 28173-6310 - Phone
- (704) 384-8640
- Fax
- (704) 384-8650
- NPI assigned
- Apr 8, 2019
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 2023-01046 | NC | Primary |
Addresses
Primary practice location
3614 Providence Rd S Ste 200
Waxhaw, NC 28173-6310
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
2000 E Greenville St
Anderson, SC 29621-1580
Phone (864) 512-1916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, 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
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 D McGill Ave NW
Concord, NC 28025-4615
Phone (704) 792-2256
202 D McGill Avenue NW
Concord, NC 28025-4615
721 W Sugar Creek Rd
Charlotte, NC 28213-6163
Phone (704) 859-9544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-01046 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Cabarrus Rowan Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Cabarrus Rowan Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Cabarrus Rowan Community Health Centers, Inc. | Current | Accepting new patients | |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
Locations
721 W Sugar Creek Rd
Charlotte, NC 28213
Phone (704) 859-9544
202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242
1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473
600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530
895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530
Interoperability endpoints
- abailey35889@direct.anmedhealth.net
- anietra.bailey.1@12871.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba APHS - McGill Family Medicine
- Federally Qualified Health Center (FQHC)
- Concord, NC
- NPI 1396782710
Family Medicine
-
dba AnMed
- Addiction Medicine (Psychiatry & Neurology) Physician
- Anderson, SC
- NPI 1164746392
-
dba AnMed Health Westside Family Medicine
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
-
dba Aphs - Salisbury Health Center
- Federally Qualified Health Center (FQHC)
- Salisbury, NC
- NPI 1336780576
Family Medicine
-
dba APHS-China Grove Family Medicine
- Federally Qualified Health Center (FQHC)
- China Grove, NC
- NPI 1528304235
-
dba AnMed Primary Care-Family Medicine Residency
- Family Medicine Physician
- Anderson, SC
- NPI 1003841461
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1851854764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 PROVIDENCE RD S STE 200",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736310",
"telephone_number": "704-384-8640",
"fax_number": "704-384-8650"
}
],
"practiceLocations": [
{
"address_1": "2000 E Greenville St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296211580",
"country_code": "US",
"telephone_number": "864-512-1916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "ANIETRA",
"middle_name": "DENEEN LASHAWN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2023-01046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.