Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bailey Nicole Thompson

Individual provider Surgical Physician Assistant · NPI 1790546133

Bailey Nicole Thompson is a Physician Assistant in Louisa, Kentucky. Qualified in 2025, 1 year ago. Practices with Self Medical Group, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2024

Practice location Address checks out

169 Maplewood Dr
Louisa, KY 41230-5730
Phone: (606) 585-3747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1015 Spring St, Greenwood, SC 29646-3831 — (864) 227-6741

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5792 (SC)

Record details

NPI number1790546133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address169 Maplewood Dr, Louisa, KY 41230-5730

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare