Individual provider Active NPI

Bailey Chitwood, PA-C

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1912544669
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3972 Issued in TN
Practice address
1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761
Phone
(615) 225-2070
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3972 TN Primary

Addresses

Primary practice location

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761

Mailing address

226 Chickasaw LN
Loudon, TN 37774-2159
Phone (865) 323-2615

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526001667 TN Practitioner - Physician Assistant 1850712068 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians
Refine Dermatology, PLLCGroup PAC ID 5991198301, 3 clinicians

Practice addresses (Care Compare)

107 Glidepath Way
Lebanon, TN 37090-4133
Phone (615) 449-5771

161 Capital Dr
Suite 202
Knoxville, TN 37922-3392

161 Capital Dr
Suite 202
Knoxville, TN 37922-3581
Phone (865) 456-0936

3786 Central Pike
Suite 110
Hermitage, TN 37076-3498
Phone (615) 964-5941

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Promoting interoperability
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Refine Dermatology, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Advanced Sleep Consultants of Middle TN, Inc Past Accepting new patients

Locations

161 Capital Dr
Ste 202
Knoxville, TN 37922
Phone (865) 456-0936

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1912544669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CHICKASAW LN",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742159",
            "telephone_number": "865-323-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 MEDICAL CENTER PKWY STE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293761",
            "telephone_number": "615-225-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITWOOD",
        "first_name": "BAILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.