Provider Demographics
NPI:1649432733
Name:BAILEY, JAROD FRANKLIN (DO)
Entity type:Individual
Prefix:DR
First Name:JAROD
Middle Name:FRANKLIN
Last Name:BAILEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3207 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31605-1029
Mailing Address - Country:US
Mailing Address - Phone:229-242-8480
Mailing Address - Fax:229-242-0070
Practice Address - Street 1:3207 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31605-1029
Practice Address - Country:US
Practice Address - Phone:229-242-8480
Practice Address - Fax:229-242-0070
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA65929207R00000X
FLOS17194207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003112325AMedicaid
GA003110422AMedicaid
FL119329100Medicaid
GA20211I9776Medicare PIN