DR. DOMINIQUE C BAILEY (NPI# 1801883384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801883384 |
| Entity Type | Individual |
| Full Name | DR. DOMINIQUE C BAILEY |
| Credential | MD |
| Practice Address |
1008 N 3rd Ave Chatsworth GA 30705-2118 |
| Mailing Address |
165 Blue Ridge Overlook Blue Ridge GA 30513-4431 |
| Practice Telephone | 7065172273 |
| Practice Fax Number | 7065172469 |
| Mailing Telephone | 7069465600 |
| Mailing Fax Number | 7063747628 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD040747L | PA | Allopathic & Osteopathic Physicians |
| 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 |
| 1467076554 | Dominique Bailey | Counselor | 1000 W Tharpe St Ste 7, Tallahassee, FL 32303-5300 | 2020-06-03 |
| 1063903615 | Dominique L Bailey | Nurse Practitioner | 604a S 8th St, Griffin, GA 30224-4214 | 2018-05-18 |
| Street Address |
1008 N 3RD AVE |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834789 | Laura Huber Nix | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2020-09-01 |
| 1891279063 | Elizabeth E Thompson | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2018-09-24 |
| 1598018012 | Aimee Ballew Satterfield | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2012-10-22 |
| 1841549540 | Dixie Lynn Carter | Social Worker | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2012-09-10 |
| 1518144732 | Randall K. Stinson | Physician Assistant | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2008-01-30 |
| 1144419813 | Georgia Mountains Health Services, Inc | Clinic/Center | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2007-10-18 |
| 1336352327 | Kristi Lynn Shafer | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2007-05-07 |
| 1134342660 | Brenda Cheryl Dukas | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| Find all providers in zip 30705 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043416621 | Mary Kathleen Mazel | Pediatrics | 10606 Jordan Ave, Chatsworth, CA 91311-2133 | 2007-06-21 |
| 1811922297 | Carlo Deantonio | Pediatrics | 9200 Oakdale Ave Ste 100, Chatsworth, CA 91311-6505 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
| 1467063248 | Kindercare Pediatrics of Georgia | Pediatrics | 174 Royal Oak Dr, Guyton, GA 31312-5624 | 2020-08-13 |
| 1649880667 | Grayson Pediatrics Mobile | Pediatrics | 297 Cooper Rd Ste B, Loganville, GA 30052-2518 | 2020-08-04 |
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1225667314 | Moyosore Mary Abere | Pediatrics | 104 Bluff Chase, Bonaire, GA 31005-3867 | 2020-04-02 |
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1356988455 | Maura Mchugh Barrett | Pediatrics | 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 | 2019-12-08 |
| 1629614060 | Kaley Adams | Pediatrics | 227 Torrington Blvd, Thomasville, GA 31757-3904 | 2019-11-20 |
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
Please comment or provide details below to improve the information on DR. DOMINIQUE C 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.