Baylee Richardson, PA-C
Individual provider Active NPI Family Medicine Physician · Belzoni, MS
NPI 1881392199 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1881392199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- PA00703 (MS)
- Practice address
- 107 Church St
Belzoni, MS 39038-3929 - Phone
- (662) 247-2105
- Fax
- (662) 247-4849
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Gorton Rural Health Clinic
Gorton Lab and X-Ray, LLC
Practice addresses (Care Compare)
107 Church St
Belzoni, MS 39038-3929
Phone (662) 247-2105
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711002360 | MS | Practitioner - Physician Assistant | 9335508167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gorton Rural Health Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA00703 | MS | Yes |
Addresses
Primary practice location
107 Church St
Belzoni, MS 39038-3929
Mailing address
1362 Lake Washington Rd E
Glen Allan, MS 38744-9748
Phone (601) 405-9047
Other providers in Belzoni, MS
- RCG Mississippi, Inc.
- Restoration Children Facilities Inc
- Restoration CMHC Partial Hospitalization Program, Corp
- Restoration Community Development Corp.
- Restoration Essence of a Lady Shelter, LLC
- Rise Up Facilities
- Rise Up Facilities
- Monica Victoria Robinson
- Sheltered Arms Behavioral Health LLC
- Lori P. Smith
All providers in Belzoni, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.