Kaydra Bailey, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lawrenceville, Georgia. Her current practice location is
595 Hurricane Shoals Rd Nw Ste 110, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 979-4700.
Kaydra Bailey is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972182384.
Physician's Profile
Full Name | Kaydra Bailey |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 595 Hurricane Shoals Rd Nw Ste 110, Lawrenceville, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972182384
- Provider Enumeration Date: 04/04/2021
- Last Update Date: 05/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072922871
- Enrollment ID: I20210507000414
Medical Identifiers
Medical identifiers for Kaydra Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972182384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 104410 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaydra Bailey is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaydra Bailey, MD 853 Jefferson Ave Ste E102, Memphis, TN 38103-2804 Ph: () - | Kaydra Bailey, MD 595 Hurricane Shoals Rd Nw Ste 110, Lawrenceville, GA 30046-8761 Ph: (770) 979-4700 |
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