DR. JAMES KEITH BAILEY MD
NPI 1619943255
Family Medicine in Milbank, SD

Q: What is James Bailey's NPI number?

The NPI number for James Bailey is 1619943255. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Q: What is James Bailey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Bailey was last updated on April 5, 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.

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment

301 FLYNN DR, MILBANK, SD 57252(605) 432-4587(605) 432-4580 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. James Keith Bailey Md NPPES

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

DR. JAMES KEITH BAILEY MD (NPI 1619943255) is an individual family medicine provider in Milbank, South Dakota, licensed in South Dakota (10765) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Morehouse School Of Medicine (1994).

NPPES Registry Identity

NPI1619943255

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES KEITH BAILEYCredential: MD

Location Address301 FLYNN DRMilbank, SD 57252-1508

Mailing Address301 Flynn DrMilbank, SD 57252-1508 · (605) 432-4587 · Fax (605) 432-4580

Phone(605) 432-4587

Fax(605) 432-4580

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 1994

Enumeration DateFebruary 24, 2006

Last NPPES UpdateApril 5, 2018

✔ NPI 1619943255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 10765

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

301 FLYNN DR, Milbank, SD 57252

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. James Keith Bailey Md 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 ID3779652672

PECOS Enrollment IDI20080519000450, I20250724003168

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

Medicare enrollment records show James Bailey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan

Same address

Critical Access Hospital

301 FLYNN DR
Milbank, SD 57252

Reassigned Medicare billing, South Dakota enrollment
1,277 clinicians in this Medicare group

NPI 1013024009 (605) 432-4538

Grady Memorial Hospital Corporation

1,024 mi

Family Medicine

80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
771 clinicians in this Medicare group

NPI 1114243813 (404) 616-8880

Georgia Emergency Group, LLC

1,057 mi

Emergency Medicine

601 S 8TH ST
Griffin, GA 30224

Reassigned Medicare billing, Georgia enrollment
208 clinicians in this Medicare group

NPI 1952746638 (770) 874-5400

Ich ER Services Of Alabama, LLC

1,071 mi

Emergency Medicine

2015 S ALABAMA AVE
Monroeville, AL 36460

Reassigned Medicare billing, Alabama enrollment
23 clinicians in this Medicare group

NPI 1245088236 (800) 923-2247

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57252 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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 11

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

AVERA MCKENNAN

Clinic/Center (Critical Access Hospital)

301 FLYNN DR
MILBANK, SD 57252

Grant County (605) 432-4538

DR. WENDY BAILEY PH.D.

Psychologist (Clinical)

301 FLYNN DR
MILBANK, SD 57252

Grant County (605) 432-4587

AVERA MCKENNAN

Family Medicine

301 FLYNN DR
MILBANK, SD 57252

Grant County (605) 432-4587

AUSTIN EGGERS MD

Family Medicine

301 FLYNN DR
MILBANK, SD 57252

Grant County (605) 432-4587

BIEN PHARMACY INC

Pharmacy (Community/Retail Pharmacy)

301 FLYNN DR, SUITE 2
MILBANK, SD 57252

Grant County (605) 432-5781

KRISTI J STEMSRUD PA-C

Physician Assistant

301 FLYNN DR
MILBANK, SD 57252

Grant County (605) 432-4587

AVERA MCKENNAN

Medicare Defined Swing Bed Unit

301 FLYNN DR
MILBANK, SD 57252

Grant County (605) 432-4538

LESHEA MARIE BUTTKE DO

Family Medicine

301 FLYNN DR
MILBANK, SD 57252

Grant County (605) 432-4538

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 1619943255. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is James Bailey located?

James Bailey practices at 301 Flynn Dr, Milbank, SD 57252. The listed phone number is (605) 432-4587.

What is James Bailey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 organizations bill Medicare for James Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Bailey reassigns Medicare benefits to 4 organizations: Avera Mckennan (Milbank, SD), Grady Memorial Hospital Corporation (Atlanta, GA), Georgia Emergency Group, LLC (Griffin, GA) and Ich ER Services Of Alabama, LLC (Monroeville, AL). 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 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 from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer 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.

Is James Bailey affiliated with any hospitals?

According to CMS data, James Bailey is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Bailey was last updated on April 5, 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.