Physician Compare National (NPI:1053595348)

HEALTHCARE PROVIDER: JAIME RENA BAILEY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053595348
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375619497
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120606000312
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAILEY
	Individual professional last name
Provider First Name	JAIME
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MEMORIAL HEALTH PARTNERS FOUNDATION, INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8022919570
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	233
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2525 DESALES AVE
	Group Practice or individual's line 1 address
City	CHATTANOOGA
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	374041161
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4234952620
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180093
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HEALTH MADISONVILLE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440091
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HEALTHCARE SYSTEM, INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	480001
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ROY LESTER SCHNEIDER HOSPITAL,THE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	180051
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	JENNIE STUART MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y