NPIMap

Individual provider Active NPI

Courtney Drew Bailey

  • Gynecologic Oncology Physician
  • Charleston, SC
National Provider Identifier
1992116834
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
83467 Issued in SC
Practice address
1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835
Phone
(843) 556-4380
Fax
(843) 571-5531
NPI assigned
May 14, 2014
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 83467 SC Primary

Addresses

Primary practice location

1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835

Mailing address

1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835
Phone (843) 556-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WI, OR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210825001028 SC Practitioner - Obstetrics/Gynecology 5496007668 Reassigns benefits to 1 organization
I20260506000666 WI Practitioner - Gynecological Oncology 5496007668 Reassigns benefits to 1 organization
I20260615000776 OR Practitioner - Gynecological Oncology 5496007668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone (414) 319-3000

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Multispecialty Associates, LLC CurrentSince Aug 16, 2021 Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients

Locations

1470 Tobias Gadson Blvd
Ste 110
Charleston, SC 29407
Phone (843) 402-1301

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: courtney.bailey@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1992116834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074835",
            "telephone_number": "843-556-4380",
            "fax_number": "843-571-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074835",
            "telephone_number": "843-556-4380",
            "fax_number": "843-571-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "COURTNEY",
        "middle_name": "DREW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "SC",
            "license": "83467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.