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

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: November 08, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dominique Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Atlanta Lung And Sleep Clinic Inc.
Same address
Pulmonary Disease
604A S 8TH ST
Griffin, GA 30224
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1386838621 (770) 227-1999
Piedmont Hospitalist Physicians LLC
19 mi
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
NPI 1548219660 (770) 801-2500

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

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)
604A S 8TH ST
GRIFFIN, GA 30224
Spalding County (678) 248-2899
JOHN R DUPRE MD
Internal Medicine (Pulmonary Disease)
604A S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 227-1999
PEACH STATE NEPHROLOGY
Internal Medicine (Nephrology)
604A S 8TH ST
GRIFFIN, GA 30224
Spalding County (678) 371-4281
SOUTH ATLANTA LUNG AND SLEEP CLINIC INC.
Internal Medicine (Pulmonary Disease)
604A S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 227-1999
DR. HARI GOPAL MADICHETTY MD, FCCP, D-ABSM
Specialist
604A S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 227-1999

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 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.

Where is Dominique Bailey located?

Dominique Bailey practices at 604A S 8th St, Griffin, GA 30224. The listed phone number is (770) 227-1999.

What is Dominique Bailey's specialty?

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

Is Dominique Bailey enrolled in Medicare?

Yes. Dominique Bailey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dominique Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Bailey reassigns Medicare benefits to 2 organizations: South Atlanta Lung And Sleep Clinic Inc. (Griffin, GA) and Piedmont Hospitalist Physicians LLC (Stockbridge, GA). Each 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 Dominique Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.