Individual provider Active NPI

Anita S Bayles, APRN-BC

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1972510303
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11780 Issued in TN
Practice address
102 Dunhill PL NW
Cleveland, TN 37311-3885
Phone
(423) 339-9581
Fax
(423) 472-0454
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11780 TN Primary

Addresses

Primary practice location

102 Dunhill PL NW
Cleveland, TN 37311-3885

Mailing address

102 Dunhill PL NW
Cleveland, TN 37311-3885
Phone (423) 339-9581

Other practice location 1

102 Dunhill Pl NW
Cleveland, TN 37311-3885
Phone (423) 339-9581

Other identifiers 1

IdentifierTypeStateIssuer
3341555MedicaidTN

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
I20070815000907 TN Practitioner - Nurse Practitioner 6002908480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain ConsultantsGroup PAC ID 7416323514, 16 clinicians

Practice addresses (Care Compare)

11416 Grigsby Chapel Rd
Suite 104
Knoxville, TN 37934-1649
Phone (865) 218-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Consultants CurrentSince Apr 1, 2025 Accepting new patients
Interventional Pain Consultants CurrentSince Apr 1, 2025 Accepting new patients
Elite Pain Consultants, PLLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

102 Dunhill Pl NW
Cleveland, TN 37311
Phone (423) 339-9581

11416 Grigsby Chapel Rd
Ste 104
Knoxville, TN 37934
Phone (865) 218-2100

11416 Grigsby Chapel Rd
Ste 10
Knoxville, TN 37934

101 Donner Dr
Oak Ridge, TN 37830
Phone (865) 685-0941

103 Donner Dr
Oak Ridge, TN 37830
Phone (865) 481-3972

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1972510303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113885",
            "telephone_number": "423-339-9581",
            "fax_number": "423-472-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113885",
            "telephone_number": "423-339-9581",
            "fax_number": "423-472-0454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Dunhill Pl NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113885",
            "country_code": "US",
            "telephone_number": "423-339-9581",
            "fax_number": "423-472-0454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLES",
        "first_name": "ANITA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341555",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.