KALIYAH JAHKEL BAILEY PA-C NPI 1194535757

NPI Information

  • NPI: 1194535757
  • Provider Name: KALIYAH JAHKEL BAILEY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2663 EASTERLY PL
    DECATUR, GA
    ZIP 30035
  • Phone: (770) 981-5511

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NPI Details

Kaliyah Jahkel Bailey, PA-C is a medical physician assistant in Decatur, GA. Kaliyah Jahkel Bailey, PA-C NPI is 1194535757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2663 EASTERLY PL
DECATUR, GA
ZIP 30035-004
Phone: (770) 981-5511

The NPI 1194535757 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/7/2025 and was last updated on 1/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical12766GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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