NPI 1780694083 · live from the CMS NPI Registry
Terald Otis Bailey, MD
Family Medicine in Canton, MS. National Provider Identifier 1780694083, active.
NPI record
| NPI | 1780694083 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1883 Highway 43 South, Ste D, Canton, MS 39046 |
| Practice phone | 601-859-8992 |
| Enumerated | August 9, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 06976 (MS) |
| Family Medicine primary | 207Q00000X | 06976 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.