JIMMIE DALE II BAILEY (MD) – Family Medicine Physician, NPI 1235126582

JIMMIE DALE II BAILEY (MD) is a healthcare provider. based in Crestview, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD. 22758 (AL). The NPI Number for JIMMIE DALE II BAILEY (MD) is 1235126582

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
JIMMIE DALE II BAILEY (MD)
NPI
1235126582
Phone
(850) 634-2515
Address
951 S FERDON BLVD
Enumeration Date
3 October 2005
Last Update Date
27 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
97085422412130
Graduation Year
1997 (29 years ago)
PAC ID
2163799347
Group Practice PAC ID
9638161615
Professional Enrollment ID
I20210108000956
Address ID
CO807341854HO1001XSTXX400

Contacts

Secure Messaging
jimmie.bailey.1@15466.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

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Provider Addresses for JIMMIE DALE II BAILEY (MD)

  • Rocky Bayou Christian School, 951, South Ferdon Boulevard, Crestview, Okaloosa County, Florida, 32536, United States

    CRESTVIEW, FL 325364507

    Phone: (850) 634-2515

    Type: Mailing

  • Airport Road, Crestview, Greenwood County, South Carolina, 29649, United States

    CRESTVIEW, FL 325396185

    Phone: (575) 791-8397

    Type: Location

  • 1001 E JOHNSON ST

    HOLYOKE, CO 807341854

    Phone: (970) 854-2500

    Fax: (970) 854-3887

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210108000956IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32536)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638161615View full group profile
NameSpecialtyState
Nurse PractitionerCO
Mental Health CounselorSD
Family PracticeCO
Family PracticeCO
Physician AssistantVA
-ID
Mental Health CounselorCO
Nurse PractitionerWA
-CO
Nurse PractitionerNE

Reviews

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Frequently asked questions

Can I cross-check JIMMIE DALE II BAILEY (MD) using NPI 1235126582?
NPI 1235126582 belongs to JIMMIE DALE II BAILEY (MD); compare other details if you need extra assurance.
Active or inactive — what applies to JIMMIE DALE II BAILEY (MD)?
You should see JIMMIE DALE II BAILEY (MD) as active in CMS-hosted NPPES data.
What kind of doctor is JIMMIE DALE II BAILEY (MD)?
JIMMIE DALE II BAILEY (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is JIMMIE DALE II BAILEY (MD) registered?
Use Crestview, Florida as the headline location for JIMMIE DALE II BAILEY (MD) here.
When was this NPI issued?
Enumeration for JIMMIE DALE II BAILEY (MD) is noted as October 3, 2005 where the registry provides it.