Individual
MR. RONALD KEITH BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2356 JOHN SMITH RD STE 202, FAYETTEVILLE, NC 28306-4009
(800) 678-4611
(770) 234-5326
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(800) 678-4611
(770) 234-5326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103712
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
363A00000X
Physician Assistant
103712
NC
363A00000X
Physician Assistant
C0003059
MD
363A00000X
Physician Assistant
MA053489
PA
363AM0700X
Medical Physician Assistant
Primary
103712
NC
363AM0700X
Medical Physician Assistant
MA053489
PA
363AS0400X
Surgical Physician Assistant
103712
NC
363AS0400X
Surgical Physician Assistant
MA053489
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065854
HIGHMARK BLUE SHIELD
PA
01
—
50079769
CAPITAL BLUE CROSS-WMG
PA
Enumeration date
07/05/2006
Last updated
04/02/2026
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