Jerry Green Bayliff Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6119 Issued in NC

Practice address

441 S Morgan St
Roxboro, NC 27573-5123

Phone

(336) 599-6640

Fax

(336) 599-7182

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bayliff Family Dentistry

  • Dentist
  • Roxboro, NC
  • NPI 1891909388
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912915810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S MORGAN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735123",
            "telephone_number": "336-599-6640",
            "fax_number": "336-599-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S MORGAN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735123",
            "telephone_number": "336-599-6640",
            "fax_number": "336-599-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLIFF",
        "first_name": "JERRY",
        "middle_name": "GREEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte R Barnard, CLINICAL SOCIAL WORK
• Kelly S Batts, CRNA
• Bayada Home Health Care, Inc.
• Bayada Nurses, Inc.
• Bayliff Family Dentistry
• Justin Bryce Bethea
• Angela Yvette Blackburn, AGPNP
• Tangela Blackwell-Stoner
• Amanda Bloom, M.ED., NCC, LPC
• William R. Boone, MA, LPC

• Dentist in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.