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GARRICK KEITH BAILEY MD NPI 1104806009


NPI Information

NPI: 1104806009
Provider Name: GARRICK KEITH BAILEY, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
155 PROFESSIONAL DR
BALDWIN, GA
ZIP 30511
Phone: (706) 776-2368
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Garrick Keith Bailey, MD is a pediatrics in Baldwin, GA with 31 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Garrick Keith Bailey, MD NPI is 1104806009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

155 PROFESSIONAL DR
BALDWIN, GA
ZIP 30511-000
Phone: (706) 776-2368
Fax: (706) 776-2589

The NPI 1104806009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 8/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics041507GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
152581168OTHERGEORGIABCBS
2756400OTHERGEORGIAWELLCARE
3302389OTHERGEORGIAWELLCARE
4000707176AMEDICAIDGEORGIA
5000707176CMEDICAIDGEORGIA
6000707176BMEDICAIDGEORGIA
72031816OTHERGEORGIAAETNA HMO
8302374OTHERGEORGIAWELLCARE
9302381OTHERGEORGIAWELLCARE
10302388OTHERGEORGIAWELLCARE
115363212OTHERGEORGIAAETNA PPO
125486464OTHERGEORGIACIGNA
13000707176DMEDICAIDGEORGIA
141200031OTHERGEORGIAUNITED HEALTHCARE
1510032963OTHERGEORGIAAMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.