Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BAILEY ALYSSA FRY PA-S
NPI 1063345916
Physician Assistant in Memphis, TN

Q: What is Bailey Fry's NPI number?

The NPI number for Bailey Fry is 1063345916. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Q: What is Bailey Fry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Bailey Fry was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.

Active since June 08, 2026PECOS Enrolled

1325 EASTMORELAND AVE STE 310, MEMPHIS, TN 38104(901) 516-7000 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 31, 2026, Jul 21, 2026 (2 updates tracked since 2026).

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About Bailey Alyssa Fry Pa-s NPPES

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

BAILEY ALYSSA FRY PA-S (NPI 1063345916) is an individual physician assistant in Memphis, Tennessee and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063345916

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBAILEY ALYSSA FRYCredential: PA-S

Location Address1325 EASTMORELAND AVE STE 310Memphis, TN 38104-7544

Mailing Address1325 Eastmoreland Ave Ste 310Memphis, TN 38104-7544

Phone(901) 516-7000

Sole ProprietorNo

Enumeration DateJune 8, 2026

Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1063345916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1325 EASTMORELAND AVE STE 310, Memphis, TN 38104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bailey Alyssa Fry Pa-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMMAD KASHIF ISMAIL MD

Internal Medicine (Gastroenterology)