Individual provider Active NPI

Bailey Alexandra Minish

  • Family Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1962023176
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-02264 Issued in NC
Practice address
590 Manning Dr
Chapel Hill, NC 27599-6119
Phone
(984) 974-0210
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 261567 NC
Family Medicine Physician 207Q00000X 2023-02264 NC Primary

Addresses

Primary practice location

590 Manning Dr
Chapel Hill, NC 27599-6119

Mailing address

605 W Main St Unit 307
Carrboro, NC 27510-1695
Phone (561) 414-0573

Other practice location 1

224 S 10th Ave
Siler City, NC 27344-2779
Phone (919) 663-1744

Other practice location 2

2523 Delaney Ave
Wilmington, NC 28403-6003
Phone (910) 763-5522

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830002446 NC Practitioner - Family Practice 1759712011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group Coastal Region LLC 577 clinicians
Black River Health Services Inc 8 clinicians

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000

4811 NC Hwy 50
Maple Hill, NC 28454-8153
Phone (910) 259-6444

Hospital & facility affiliations

  • Nhrmc Home Care Home health agency, Rocky Point, NC, CCN 347065
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261567NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Services Inc CurrentSince Dec 5, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Black River Health Services Inc CurrentSince Dec 5, 2023 Accepting new patients
Black River Health Services Inc Family Medicine Current Accepting new patients
NMG Health Services LLC CurrentSince Aug 1, 2023 Accepting new patients
Black River Health Services Inc Past Accepting new patients

Locations

109 W Church St
Atkinson, NC 28421
Phone (910) 283-7783

301 S Campbell St
Burgaw, NC 28425
Phone (910) 259-5721

4811 NC Hwy 50
Maple Hill, NC 28454
Phone (910) 259-6444

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2523 Delaney Ave
Wilmington, NC 28403
Phone (910) 763-5522

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Interoperability endpoints

  • Direct secure messaging: bminish293828@directhisp.wakemed.org
  • Direct secure messaging: bminish1335735@direct.novanthealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1962023176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W MAIN ST UNIT 307",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101695",
            "telephone_number": "561-414-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996119",
            "telephone_number": "984-974-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 S 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Siler City",
            "state": "NC",
            "postal_code": "273442779",
            "country_code": "US",
            "telephone_number": "919-663-1744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2523 Delaney Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036003",
            "country_code": "US",
            "telephone_number": "910-763-5522",
            "fax_number": "910-763-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINISH",
        "first_name": "BAILEY",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "261567",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-02264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.