BAYLEY SHIELDS PA-C
NPI 1073311189
Physician Assistant - Surgical in Jackson, TN

Active since March 04, 2025PECOS EnrolledAccepts Medicare Assignment
111 STONEBRIDGE BLVD, JACKSON, TN 38305(731) 613-3334 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Mar 4, 2025 (2 updates tracked since 2025).

About Bayley Shields Pa-c NPPES

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

BAYLEY SHIELDS PA-C (NPI 1073311189) is an individual surgical provider in Jackson, Tennessee, licensed in Tennessee (6632) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073311189
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBAYLEY SHIELDSCredential: PA-C
Location Address111 STONEBRIDGE BLVDJackson, TN 38305-2040
Mailing Address111 Stonebridge BlvdJackson, TN 38305-2040 · (731) 427-7888
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 4, 2025
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1073311189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TN · 6632
111 STONEBRIDGE BLVD, Jackson, TN 38305

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bayley Shields Pa-c 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 ID4385157387
PECOS Enrollment IDI20250702001561
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.

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
111 STONEBRIDGE BLVD
JACKSON, TN 38305
Chiropractor
111 STONEBRIDGE BLVD
JACKSON, TN 38305
Skilled Nursing Facility
111 STONEBRIDGE BLVD
JACKSON, TN 38305
Nurse Practitioner
111 STONEBRIDGE BLVD
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
111 STONEBRIDGE BLVD
JACKSON, TN 38305
Pharmacy (Clinic Pharmacy)
111 STONEBRIDGE BLVD, STE A
JACKSON, TN 38305
Nurse Practitioner (Adult Health)
111 STONEBRIDGE BLVD, SUITE B
JACKSON, TN 38305
Surgery (Surgery of the Hand)
111 STONEBRIDGE BLVD
JACKSON, TN 38305

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 Bayley Shields's NPI number?

The NPI number for Bayley Shields is 1073311189. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Bayley Shields located?

Bayley Shields practices at 111 Stonebridge Blvd, Jackson, TN 38305. The listed phone number is (731) 613-3334.

What is Bayley Shields's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bayley Shields enrolled in Medicare?

Yes. Bayley Shields 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.

What insurance does Bayley Shields accept?

Health plans from BlueCross BlueShield of Tennessee list Bayley Shields 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 Bayley Shields was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.