NPIMap

Individual provider Active NPI

Bailee Blackburn

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1992246177
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81301 Issued in GA
Practice address
2401 Brookstone Centre Pkwy BLDG 200
Columbus, GA 31904-4501
Phone
(706) 256-0700
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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
Family Medicine Physician 207Q00000X 81301 GA Primary

Addresses

Primary practice location

2401 Brookstone Centre Pkwy BLDG 200
Columbus, GA 31904-4501

Mailing address

707 Center St Ste 110
Columbus, GA 31901-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709002521 GA Practitioner - Family Practice 1557632288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians
Columbus Ambulatory Healthcare Services, Inc.Group PAC ID 1355244385, 157 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2401 Brookstone Centre Pkwy
Suite 200
Columbus, GA 31904-4501
Phone (706) 256-0700

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Centerwell Home Health Home health agency, Columbus, GA, CCN 117056
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81301GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Aug 10, 2020 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Aug 10, 2020 Accepting new patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Feb 8, 2026 Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2401 Brookstone Centre Pkwy
Bldg 200
Columbus, GA 31904
Phone (706) 256-0700

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

2401 Brookstone Centre Pkwy
Ste 200
Columbus, GA 31904
Phone (706) 256-0700

1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648

Organizations & group practices 5

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 6

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1992246177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CENTER ST STE 110",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BROOKSTONE CENTRE PKWY BLDG 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044501",
            "telephone_number": "706-256-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "BAILEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "81301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.