KAYDRA BAILEY (MD) – Obstetrics & Gynecology Physician, NPI 1972182384

KAYDRA BAILEY (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 104410 (GA). The NPI Number for KAYDRA BAILEY (MD) is 1972182384

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KAYDRA BAILEY (MD)
NPI
1972182384
Phone
Not provided
Address
595 HURRICANE SHOALS RD NW BLDG SUITE110
Enumeration Date
4 April 2021
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4048518000
Graduation Year
2021 (5 years ago)
PAC ID
3072922871
Group Practice PAC ID
5991241135
Professional Enrollment ID
I20250725002634
Address ID
GA303421606AT1000XNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for KAYDRA BAILEY (MD)

  • 595 HURRICANE SHOALS RD NW BLDG SUITE110

    LAWRENCEVILLE, GA 300468761

    Phone:

    Type: Mailing

  • 595 HURRICANE SHOALS RD NW STE 110

    LAWRENCEVILLE, GA 300468761

    Phone: (770) 979-4700

    Type: Location

  • 853 JEFFERSON AVE STE E102

    MEMPHIS, TN 381032804

    Phone:

    Type: Mailing

  • 920 MADISON AVE STE 447

    MEMPHIS, TN 381033438

    Phone: (901) 287-6756

    Type: Location

  • 920 Madison Ave Ste 447

    Memphis, TN 381033438

    Phone: (901) 287-6756

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-25

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
I20250725002634IObstetrics/GynecologyGATBD

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 30046)

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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: 5991241135View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What NPI should I save for KAYDRA BAILEY (MD)?
Save NPI 1972182384 if you need a stable reference for KAYDRA BAILEY (MD).
Is KAYDRA BAILEY (MD) active in the national directory?
KAYDRA BAILEY (MD)'s public NPI profile is in an active state.
What kind of provider is KAYDRA BAILEY (MD)?
The page reflects Obstetrics & Gynecology Physician for KAYDRA BAILEY (MD). Clinical services aligned with this taxonomy classification.
What location shows for KAYDRA BAILEY (MD)?
We surface Lawrenceville, Georgia for KAYDRA BAILEY (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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