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JAMES MARK BAILEY D.O., PH.D.
NPI 1033173885
Specialist in Birmingham, AL

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
1201 11TH AVE S STE 3800, BIRMINGHAM, AL 35205(205) 930-8400(205) 930-8900 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Mark Bailey D.o., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES MARK BAILEY D.O., PH.D. (NPI 1033173885) is an individual specialist in Birmingham, Alabama, licensed in Alabama (DO-347) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific Medical College (1992).

NPPES Registry Identity

NPI1033173885
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJAMES MARK BAILEYCredential: D.O., PH.D.
Location Address1201 11TH AVE S STE 3800Birmingham, AL 35205-3423
Mailing Address1201 11th Ave S Ste 3800Birmingham, AL 35205-3423 · (205) 930-8400 · Fax (205) 930-8900
Phone(205) 930-8400
Fax(205) 930-8900
Sole ProprietorNo
Medical School CMSPacific Medical CollegeGraduated 1992
Enumeration DateApril 17, 2006
Last NPPES UpdateMarch 20, 2018
✔ NPI 1033173885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · DO-347
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1201 11TH AVE S STE 3800, Birmingham, AL 35205
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Other Identifiers 1

Medicaid000094309AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Mark Bailey D.o., Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517951668
PECOS Enrollment IDI20040412001090
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Alabama Health Services Foundation, PC
0.6 mi
Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1356377576 (205) 939-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
726 services92 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services74 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Bailey's NPI number?

The NPI number for James Bailey is 1033173885. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is James Bailey located?

James Bailey practices at 1201 11th Ave S Ste 3800, Birmingham, AL 35205. The listed phone number is (205) 930-8400.

What is James Bailey's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Bailey enrolled in Medicare?

Yes. James Bailey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Bailey reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Bailey accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list James Bailey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Bailey was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.