Fernando Bayo III, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Lagrange, GA
NPI 1932173176 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1932173176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 18889AL (AL)
- Practice address
- 208 Smith St
Lagrange, GA 30240-2755 - Phone
- (706) 882-9272
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Emory University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emory Specialty Associates, LLC
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20080616000624 | GA | Practitioner - Diagnostic Radiology | 5991607293 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18889AL | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Current |
Accepting new patients |
Locations
4800 48th St
Valley, AL 36854
Phone (334) 756-1401
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
303 Smith St
Lagrange, GA 30240
Phone (706) 812-4238
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 18889AL | AL | Yes |
Addresses
Primary practice location
208 Smith St
Lagrange, GA 30240-2755
Mailing address
208 Smith St
Lagrange, GA 30240-2755
Phone (706) 882-9272
Other practice location 1
406 Ridley Ave
Lagrange, GA 30240-2232
Phone (706) 884-2371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000029652 | Medicaid | AL |
Other providers in Lagrange, GA
- Heike Barnett
- Garin Daniel Barth
- Donna Marie Barton
- Erin Elizabeth Bashford
- Mona Batra
- Beacon Wellness Center LLC
- Beall Dental Center
- Avery Patton Beall Jr
- John Bowen Beall
- Courtney Beaudin
All providers in Lagrange, GA · Diagnostic Radiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 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).
- 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.