Renee Nichols Bailey, FNPC - Medicare Nurse Practitioner in Fort Valley, GA

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Renee Nichols Bailey, FNPC is a medicare enrolled "Nurse Practitioner - Family" in Fort Valley, Georgia. Her current practice location is 209 N Camellia Blvd, Fort Valley, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 822-0054.

Renee Nichols Bailey is licensed to practice in Georgia (license number RN107764) 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 1407018872.

Contact Information

Renee Nichols Bailey, FNPC
209 N Camellia Blvd,
Fort Valley, GA 31030-3368
(478) 822-0054
(478) 822-0059

Map and Direction




Provider's Profile

Full NameRenee Nichols Bailey
GenderFemale
SpecialityNurse Practitioner - Family
Location209 N Camellia Blvd, Fort Valley, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407018872
  • Provider Enumeration Date: 06/27/2008
  • Last Update Date: 07/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1951778034
  • Enrollment ID: I20221102001060

Medical Identifiers

Medical identifiers for Renee Nichols Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407018872NPI-NPPES
003147242AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN107764 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Renee Nichols Bailey allows following entities to bill medicare on her behalf.
Entity NameSoutheast Medical Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235296054
PECOS PAC ID: 3577559673
Enrollment ID: O20040423000347
Entity NameMedplus Immediate Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215600564
PECOS PAC ID: 5597162842
Enrollment ID: O20210929001188

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. Renee Nichols 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 AddressPractice Location Address
Renee Nichols Bailey, FNPC
209 N Camellia Blvd,
Fort Valley, GA 31030-3368

Ph: (478) 822-0054		Renee Nichols Bailey, FNPC
209 N Camellia Blvd,
Fort Valley, GA 31030-3368

Ph: (478) 822-0054

Reviews and Comments


Nurse Practitioner Nurses in Fort Valley, GA

Alisha Nicole Thomas, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 201 Avera Dr, Fort Valley, GA 31030
Phone: 478-825-3317    Fax: 478-825-5499
Janet Kay Logan, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 803 Mlk Drive, Fort Valley, GA 31030
Phone: 478-827-0710    Fax: 478-827-0677
Gloria Lucille Harden, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 209 N Camellia Blvd, Fort Valley, GA 31030
Phone: 478-822-0054    
Sara Ambrose, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 209 N Camellia Blvd, Fort Valley, GA 31030
Phone: 478-822-0054    Fax: 478-822-0059
Kasey Eavenson Fish, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 701 Bluebird Blvd, Fort Valley, GA 31030
Phone: 478-825-7000    
Rose C Birmingham,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 209 N Camellia Blvd, Fort Valley, GA 31030
Phone: 478-822-0054    Fax: 478-822-0059

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.