James R Bailes Jr., MD
Individual provider Active NPI Pediatrics Physician · Huntington, WV
NPI 1891759031 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1891759031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 17593 (WV)
- Practice address
- 1115 20TH St Ste 105
Huntington, WV 25703-2071 - Phone
- (304) 399-4141
- Fax
- (304) 399-4145
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230127002195 | OH | Practitioner - Pediatric Medicine | 4486792512 | Reassigns benefits to 2 organizations |
| I20241231001549 | KY | Practitioner - Pediatric Medicine | 4486792512 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ovp Health Care Inc | Current |
Accepting new patients | |
| Ovp Health Care Inc | Current |
Accepting new patients | |
| Ovp Health Care Inc | Current |
Accepting new patients | |
| Ovp Health Care Inc | Past | Accepting new patients | |
| Ovp Health Care Inc | Past | Accepting new patients | |
| Ovp Health Care Inc | Past | Accepting new patients | |
| Ovp Health Care Inc | Past | Accepting new patients |
Locations
2550 Carter Ave
Ashland, KY 41101
Phone (606) 325-8561
936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600
6276 County Road 107
Proctorville, OH 45669
Phone (740) 451-4000
8991 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 716-7086
601 20th St
Huntington, WV 25703
Phone (304) 523-6421
300 8th St
Ste 201
Huntington, WV 25701
1423 3rd Ave
Huntington, WV 25701
Phone (304) 529-0483
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17593 | WV | Yes |
Addresses
Primary practice location
1115 20TH St Ste 105
Huntington, WV 25703-2071
Mailing address
1340 Hal Greer Boulevard
Attn: Tammie Silva
Huntington, WV 25701-3800
Phone (304) 526-2053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108955000 | Medicaid | WV | |
| 0921346 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | james.bailes@direct.chhi.org |
Other providers in Huntington, WV
- Emily Babson
- Wayne Matthew Bachelor
- Heather Baganski
- Darin Daw Bagar
- Desiree Bailes
- Geri Beth Bailey-Skeens
- Russell Bailey-Spence
- Ashley D Bailey
- Beonca Bailey
- Bobbie Bailey
All providers in Huntington, WV · Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.