RENEE NICHOLS BAILEY (FNPC) – General Practice Physician, NPI 1407018872

RENEE NICHOLS BAILEY (FNPC) is a healthcare provider. based in Vidalia, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNPC. They hold a License No. APRN-NP107764 (GA). The NPI Number for RENEE NICHOLS BAILEY (FNPC) is 1407018872

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
RENEE NICHOLS BAILEY (FNPC)
NPI
1407018872
Phone
(912) 537-4986
Address
PO BOX 407
Enumeration Date
27 June 2008
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789180770
Graduation Year
1998 (28 years ago)
PAC ID
1951778034
Group Practice PAC ID
3577559673
Professional Enrollment ID
I20221102001060
Address ID
GA310933449WA1531XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for RENEE NICHOLS BAILEY (FNPC)

  • PO BOX 407

    VIDALIA, GA 304750407

    Phone: (912) 537-4986

    Type: Mailing

  • Church Street, Vidalia, Toombs County, Georgia, 30474, United States

    VIDALIA, GA 304744770

    Phone: (912) 538-8484

    Fax: (912) 538-8665

    Type: Location

  • 209 N CAMELLIA BLVD

    FORT VALLEY, GA 310303368

    Phone: (478) 822-0054

    Fax: (478) 822-0059

    Type: Location

  • 1006 HILLCREST PKWY STE 1

    DUBLIN, GA 310214259

    Phone: (478) 272-8140

    Type: Mailing

  • 5585 THOMASTON RD STE A600

    MACON, GA 312208200

    Phone: (478) 219-9514

    Fax: (478) 295-2836

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $436.

Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($255).

Total Amount

$436

General + Research + Ownership

Payments

10

Total payment records

General Amount

$436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2022-11-02

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
I20221102001060INurse PractitionerGATBD

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 30475)

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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: 3577559673View full group profile
NameSpecialtyState
-GA
Physician AssistantGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Family PracticeGA
Internal MedicineTN
Internal MedicineGA
Cardiovascular Disease (Cardiology)GA
Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm RENEE NICHOLS BAILEY (FNPC)'s NPI?
Yes. RENEE NICHOLS BAILEY (FNPC) is listed with NPI 1407018872 in the public NPI dataset.
Is RENEE NICHOLS BAILEY (FNPC) still practicing?
RENEE NICHOLS BAILEY (FNPC) is currently listed as active in the public NPI registry.
What is RENEE NICHOLS BAILEY (FNPC)'s primary classification?
General Practice Physician is the headline specialty for RENEE NICHOLS BAILEY (FNPC) here. Clinical services aligned with this taxonomy classification.
What address line appears for RENEE NICHOLS BAILEY (FNPC)?
RENEE NICHOLS BAILEY (FNPC)'s geographic hint is Vidalia, Georgia in our summary view.
Is the information about RENEE NICHOLS BAILEY (FNPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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