Individual provider Active NPI

Andrew Allison Bailey Jr., M.D.

  • Specialist
  • Charlottesville, VA
National Provider Identifier
1992772933
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101038885 Issued in VA
Practice address
195 Riverbend Dr
Suite 2
Charlottesville, VA 22911-8607
Phone
(434) 295-2482
Fax
(434) 293-8725
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101038885 VA Primary

Addresses

Primary practice location

195 Riverbend Dr
Suite 2
Charlottesville, VA 22911-8607

Mailing address

195 Riverbend Dr
Suite 2
Charlottesville, VA 22911-8607
Phone (434) 295-2482

Other identifiers 1

IdentifierTypeStateIssuer
007371802MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101038885VAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1992772933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 RIVERBEND DR",
            "address_2": "SUITE 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118607",
            "telephone_number": "434-295-2482",
            "fax_number": "434-293-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 RIVERBEND DR",
            "address_2": "SUITE 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118607",
            "telephone_number": "434-295-2482",
            "fax_number": "434-293-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ANDREW",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101038885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007371802",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.