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

Dr. Jake Hamilton Bayless, DO

Individual provider Family Medicine Physician · NPI 1124558135

Dr. Jake Hamilton Bayless, DO is a Family Practice in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
9
Licensed in
NC, SC
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10905 Providence Rd W Ste G200
Charlotte, NC 28277-1538
Phone: (980) 488-4900
Fax: (980) 488-4905
Show map & directions

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

Additional practice locations (1)

  • 853 N Church St Ste 510, Spartanburg, SC 29303-3077 — (864) 560-6193

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2023-03317 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence LL40693 (SC)

Record details

NPI number1124558135
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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