Healthcare Provider Details

I. General information

NPI: 1811926322
Provider Name (Legal Business Name): MICHAEL SCOTT BAILEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 ALCOA HWY STE E310
KNOXVILLE TN
37920-2267
US

IV. Provider business mailing address

PO BOX 405100-MSC8179
NASHVILLE TN
37241-8179
US

V. Phone/Fax

Practice location:
  • Phone: 865-544-2800
  • Fax: 865-544-6812
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number28643
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number37572
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: