KIMBERLY BAILEY (NPI# 1447760129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447760129 |
| Entity Type | Individual |
| Full Name | KIMBERLY BAILEY |
| Credential | AGPCNP-C |
| Practice Address |
1212 Broadrick Dr Dalton GA 30720-2503 |
| Mailing Address |
Po Box 1587 Dalton GA 30722-1587 |
| Practice Telephone | 7062708008 |
| Practice Fax Number | 7062708248 |
| Mailing Telephone | 7065296015 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN203734 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN203734 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1102 Burleyson Rd, Dalton, GA 307203016 | 7062261285 | 7062266877 |
| 1110 Burleyson Rd, Dalton, GA 307203016 | 7062261021 | 7062267881 |
| 1115 Professional Blvd, Dalton, GA 307202628 | 7062261021 | 7062269785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488527 | Kimberly June Bailey | Technician | 4622 Primrose Dr, Charleston, WV 25313-2336 | 2020-08-21 |
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1619347499 | Kimberly R. Bailey | Marriage & Family Therapist | 109 S Madison St Ste C, Raymore, MO 64083-8816 | 2015-10-06 |
| 1033545397 | Kimberly Ann Bailey | Social Worker | 18638 Lawrence Lane, New Boston, MI 48164 | 2013-09-18 |
| 1255670691 | Kimberly A Bailey | Internal Medicine | 6800 Tupelo Ln, Cincinnati, OH 45243-2742 | 2013-02-05 |
| 1376036160 | Kimberly Bailey | Occupational Therapist | 7310 Ritchie Highway, Empire Towers Suite 615, Glen Burnie, MD 21061 | 2018-06-07 |
| 1568860351 | Kimberly Bailey | Licensed Practical Nurse | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2014-12-11 |
| 1477988673 | Kimberly Darlene Bailey | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-09-06 |
| 1699117093 | Kimberly Bailey | Counselor | 200 Casentini St, Salinas, CA 93907-2299 | 2013-07-25 |
| 1245675404 | Kimberly Lynn Bailey | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2013-05-01 |
| Street Address |
1212 BROADRICK DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287612 | Joann H Bell | Nurse Practitioner | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2005-10-05 |
| 1083171524 | Katherine M Gibson | Occupational Therapy Assistant | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2019-02-20 |
| 1932128840 | Cynthia W Brown | Internal Medicine | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2006-07-19 |
| 1477584886 | Hltc, Inc. | Skilled Nursing Facility | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558816462 | Rachael Green | Nurse Practitioner | 1503 Professional Ct Ste 100, Dalton, GA 30720-2566 | 2016-08-20 |
| 1861623308 | Jennifer Brooke Green | Nurse Practitioner | 1109 Burleyson Drive Suite 103, Dalton, GA 30720-3099 | 2009-07-31 |
| 1649689449 | Suzanne Elizabeth Brown | Nurse Practitioner | 1109 Burleyson Rd, Ste 202, Dalton, GA 30720-3094 | 2014-08-05 |
| 1699768366 | Joyce Anne Miller | Nurse Practitioner | 1506 Broadrick Dr, Dalton, GA 30720-3011 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY 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.