Provider Demographics
NPI:1558438648
Name:JARRETT, DAVID BAILEY (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BAILEY
Last Name:JARRETT
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 110023
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-5023
Mailing Address - Country:US
Mailing Address - Phone:919-544-4300
Mailing Address - Fax:919-544-7676
Practice Address - Street 1:5318 NC HIGHWAY 55 STE 206
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9660
Practice Address - Country:US
Practice Address - Phone:919-544-4300
Practice Address - Fax:919-544-7676
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97008302084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891065GMedicaid
NCB34239Medicare UPIN
NC2817503CMedicare ID - Type Unspecified
NCB34239Medicare UPIN