Garrick Keith Bailey, MD | |
155 Professional Dr, Baldwin, GA 30511-4000 | |
(706) 776-2368 | |
(706) 776-2589 |
Full Name | Garrick Keith Bailey |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 155 Professional Dr, Baldwin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104806009 | NPI | - | NPPES |
52581168 | Other | GA | BCBS |
756400 | Other | GA | WELLCARE |
302389 | Other | GA | WELLCARE |
000707176A | Medicaid | GA | |
000707176C | Medicaid | GA | |
000707176B | Medicaid | GA | |
2031816 | Other | GA | AETNA HMO |
302374 | Other | GA | WELLCARE |
302381 | Other | GA | WELLCARE |
302388 | Other | GA | WELLCARE |
5363212 | Other | GA | AETNA PPO |
5486464 | Other | GA | CIGNA |
000707176D | Medicaid | GA | |
1200031 | Other | GA | UNITED HEALTHCARE |
10032963 | Other | GA | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 041507 (Georgia) | Primary |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Garrick Keith Bailey, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Garrick Keith Bailey, MD 155 Professional Dr, Baldwin, GA 30511-4000 Ph: (706) 776-2368 |
Dr. James Brown Gilbert Iii, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 155 Professional Dr, Baldwin, GA 30511 Phone: 706-776-2368 Fax: 706-776-2589 |