CRYSTAL KEYONNICA BAILEY (NPI# 1225635212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225635212 |
| Entity Type | Individual |
| Full Name | CRYSTAL KEYONNICA BAILEY |
| Practice Address |
6126 Prestley Mill Rd Douglasville GA 30134-5623 |
| Mailing Address |
42 Crestover Ln Powder Springs GA 30127-5745 |
| Practice Telephone | 6787152993 |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN240322 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232472 | Crystal Rambayon Bailey | Counselor | 4526 Federal Ave Bldg 1, Everett, WA 98203-2132 | 2020-07-22 |
| 1992352272 | Crystal Bailey | Social Worker | 7450 Heritage Village Plz, Gainesville, VA 20155-3090 | 2019-08-21 |
| 1295257905 | Crystal Hope Bailey | Speech-Language Pathologist | 5012 E Manslick Rd, Louisville, KY 40219-5165 | 2017-07-13 |
| 1457797623 | Crystal Dee Bailey | Registered Nurse | 789 N Clare Ave, Harrison, MI 48625-9194 | 2013-05-15 |
| 1548508104 | Crystal Bailey | Nurse Practitioner | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2013-01-16 |
| 1972741478 | Crystal Jean Bailey | Registered Nurse | 1080 Neal St, Ste 200, Cookeville, TN 38501-0942 | 2009-01-22 |
| Street Address |
6126 PRESTLEY MILL RD |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-5623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669429353 | Samarpan Inc. | Durable Medical Equipment & Medical Supplies | 6126 Prestley Mill Rd, Unit K, Douglasville, GA 30134-5623 | 2006-05-28 |
| 1346678687 | Parikshit Patel | Pharmacist | 6126 Prestley Mill Rd, Douglasville, GA 30134-5623 | 2013-10-24 |
| 1699117473 | Dulari K. Parikh | Pharmacist | 6126 Prestley Mill Rd, Suite K, Douglasville, GA 30134-5623 | 2013-07-22 |
| 1710236880 | Elite Family Practice | Preferred Provider Organization | 6126 Prestley Mill Rd, Suite H, Douglasville, GA 30134-5623 | 2012-09-05 |
| 1700802089 | Dennis Lee Starkey | Dentist | 6126 Prestley Mill Rd, Suite J, Douglasville, GA 30134-5623 | 2006-07-13 |
| 1215972823 | Valencia R Burruss | Family Medicine | 6126 Prestley Mill Rd, Ste H, Douglasville, GA 30134-5624 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1184268682 | Rasheedat Adunni Ibrahim | Nurse Practitioner | 6712 Brookfield Way, Douglasville, GA 30134-1461 | 2019-10-29 |
| 1538717475 | Shantel Brown | Nurse Practitioner | 3347 Surveyor Ct, Douglasville, GA 30135-8102 | 2019-09-03 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1962986224 | Sherry-ann Francis-grant | Nurse Practitioner | 6510 Manor Creek Dr, Douglasville, GA 30135-3681 | 2018-09-21 |
| 1891278602 | Monique Danielle Jasper | Nurse Practitioner | 3090 Stone Oak Dr, Douglasville, GA 30135-1903 | 2018-09-09 |
| 1720560006 | Chinelo Emekwue | Nurse Practitioner | 2361 Salah Cir, Douglasville, GA 30135-8159 | 2018-09-03 |
| 1598269250 | Medicas Medical Clinic, LLC | Nurse Practitioner | 5846 Stewart Pkwy, Douglasville, GA 30135-2374 | 2018-03-19 |
| 1477083913 | Angela Long | Nurse Practitioner | 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134-5624 | 2017-06-18 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
Please comment or provide details below to improve the information on CRYSTAL KEYONNICA BAILEY.
| 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.