JONATHAN DANIEL BAILEY (NPI# 1780986570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780986570 |
| Entity Type | Individual |
| Full Name | JONATHAN DANIEL BAILEY |
| Credential | M.D. |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356633 |
| Mailing Telephone | 9124356633 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 46664 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428210 | Jonathan Bailey | Counselor | 30 Southwick St, Feeding Hills, MA 01030-2024 | 2018-12-06 |
| 1518445600 | Jonathan Adam Bailey | Counselor | 1304 L St, Bakersfield, CA 93301-4509 | 2018-08-01 |
| 1831522358 | Jonathan Shelley Bailey | Behavioral Analyst | 9550 W Sahara Ave, 1071, Las Vegas, NV 89117-5373 | 2013-08-20 |
| 1366476947 | Jonathan S Bailey | Oral & Maxillofacial Surgery | 611 W. Park St., Oral and Maxillofacial Surgery, Urbana, IL 61801-2500 | 2006-07-10 |
| 1487697504 | Jonathan Quin Bailey | Obstetrics & Gynecology | 2 Memorial Medical Dr, Greenville, SC 29605-4450 | 2006-06-14 |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982086070 | Joseph Dominic Shevchik | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2015-06-24 |
| 1306226758 | Caitlin Marie Granadillos | Family Medicine | 192 Lindquist Rd, Fort Stewart, GA 31314-5000 | 2015-06-01 |
| 1245646884 | Jerome Barron | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-07-03 |
| 1053723627 | Adam Walter Kowalski | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-05-29 |
| 1023429537 | Elyse Fiore Pierre | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-05-19 |
| 1366863532 | David R Powell | Family Medicine | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2013-12-13 |
| 1174964175 | Laura Hehn | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5674 | 2013-07-08 |
| 1396007324 | Richard Matthew Hawkins | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5674 | 2012-06-14 |
| 1487942744 | Michael O Needham | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2011-07-20 |
| 1982916987 | Jeffrey Todd Freeman | Family Medicine | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2010-07-07 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
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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.