DOMINIQUE L BAILEY (NPI# 1063903615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063903615 |
| Entity Type | Individual |
| Full Name | DOMINIQUE L BAILEY |
| Credential | FNP-C |
| Practice Address |
604a S 8th St Griffin GA 30224-4214 |
| Mailing Address |
863 Flat Shoals Rd Se Ste 145 Conyers GA 30094-6633 |
| Practice Telephone | 7702271999 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN227795 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366700874 | Dominique Drummond Bailey | Pediatrics | 630 W. 168th Street - Chn 517, Columbia University Medical Center, New York, NY 10032 | 2012-05-03 |
| 1801883384 | Dominique C Bailey | Pediatrics | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2005-09-30 |
| 1467076554 | Dominique Bailey | Counselor | 1000 W Tharpe St Ste 7, Tallahassee, FL 32303-5300 | 2020-06-03 |
| Street Address |
604A S 8TH ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437123585 | Hari Gopal Madichetty | Specialist | 604a S 8th St, Griffin, GA 30224-4214 | 2006-02-15 |
| 1033490743 | Jolina Pamela C Santos | Internal Medicine | 604a S 8th St, Griffin, GA 30224-4214 | 2011-09-08 |
| 1316123227 | Peach State Nephrology | Internal Medicine | 604a S 8th St, Griffin, GA 30224-4214 | 2008-01-10 |
| 1386838621 | South Atlanta Lung and Sleep Clinic Inc. | Internal Medicine | 604a S 8th St, Griffin, GA 30224-4214 | 2007-08-29 |
| 1043222649 | John R Dupre | Internal Medicine | 604a S 8th St, Griffin, GA 30224-4214 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739519 | Haylee Powell | Nurse Practitioner | 616 S 8th St Ste A, Griffin, GA 30224-4214 | 2020-07-31 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1164913646 | Alvon Dukes | Nurse Practitioner | 193 Jim Goodson Rd, Griffin, GA 30223-6125 | 2018-05-21 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1497294532 | Portia Risper | Nurse Practitioner | 600 S Pine Hill Rd, Apt H6, Griffin, GA 30224-8325 | 2017-02-22 |
| 1023479516 | Kaley Prather | Nurse Practitioner | 619 S 8th St Suite 200, Griffin, GA 30224-4260 | 2016-03-11 |
| 1407109267 | Terrie Hattie Allen | Nurse Practitioner | 82 Payton Rd, Minuteclinic, Griffin, GA 30223-5738 | 2012-10-17 |
| 1922238260 | Frances Marie Landrum | Nurse Practitioner | 409 W Solomon St, Griffin, GA 30223-2831 | 2009-07-21 |
| 1437330412 | Margaret Ann Mcilwain | Nurse Practitioner | 1857 W Mcintosh Rd, Griffin, GA 30223-1705 | 2007-11-19 |
| 1093708869 | Kudirat Mumuney | Nurse Practitioner | 315 S 9th St, Griffin, GA 30224-4111 | 2005-08-26 |
| Find all providers in GRIFFIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.