DOMINIQUE L BAILEY FNP-C
NPI 1063903615
Nurse Practitioner - Family in Griffin, GA

Q: What is Dominique Bailey's NPI number?

The NPI number for Dominique Bailey is 1063903615. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Q: What is Dominique Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Bailey was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 18, 2018PECOS Enrolled

604A S 8TH ST, GRIFFIN, GA 30224(770) 227-1999 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 21, 2019, Feb 17, 2019, May 18, 2018 (3 updates tracked since 2018).

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About Dominique L Bailey Fnp-c NPPES

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

DOMINIQUE L BAILEY FNP-C (NPI 1063903615) is an individual family provider in Griffin, Georgia, licensed in Georgia (RN227795) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063903615

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDOMINIQUE L BAILEYCredential: FNP-C

Location Address604A S 8TH STGriffin, GA 30224-4214

Mailing Address863 Flat Shoals Rd Se Ste 145Conyers, GA 30094-6633

Phone(770) 227-1999

Sole ProprietorYes

Enumeration DateMay 18, 2018

Last NPPES UpdateFebruary 21, 20193 updates tracked since enumeration

✔ NPI 1063903615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN227795

604A S 8TH ST, Griffin, GA 30224

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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)

Dominique L Bailey Fnp-c 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 30224 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

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 5

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

JOLINA PAMELA C SANTOS MD

Internal Medicine (Nephrology)