Individual provider Active NPI

Jennifer M Bailey-Martin, O.D.

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1881634012
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-816-TA-127 Issued in AL
Practice address
3501 Memorial Pkwy SW
Huntsville, AL 35801-5319
Phone
(256) 533-0315
Fax
(256) 533-0422
NPI assigned
Jun 7, 2006
Last updated
Oct 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-816-TA-127 AL Primary

Addresses

Primary practice location

3501 Memorial Pkwy SW
Huntsville, AL 35801-5319

Mailing address

3501 Memorial Pkwy SW
Huntsville, AL 35801-5319
Phone (256) 533-0315

Other identifiers 1

IdentifierTypeStateIssuer
529904260-8937MedicaidAL

Other names 1

  • Dr. Jennifer M. Baily Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000253 AL Practitioner - Optometry 1153598115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maynor and Mitchell Eye Center PCGroup PAC ID 1759300304, 10 clinicians

Practice addresses (Care Compare)

3501 Memorial Pkwy SW
Suite 200
Huntsville, AL 35801-6901
Phone (256) 533-0315

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maynor & Mitchell Eye Center PC CurrentSince May 3, 1999 Accepting new patients

Locations

3501 Memorial Pkwy SW
Ste 200
Huntsville, AL 35801
Phone (256) 533-0315

Interoperability endpoints

  • Direct secure messaging: jmartin@mmec.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1881634012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015319",
            "telephone_number": "256-533-0315",
            "fax_number": "256-533-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015319",
            "telephone_number": "256-533-0315",
            "fax_number": "256-533-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY-MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-816-TA-127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529904260-8937",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BAILY",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.