Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Lawrence Douglas Bailes II, PA-C

Individual provider Physician Assistant · NPI 1467834903

Mr. Lawrence Douglas Bailes II, PA-C is a Physician Assistant in Gettysburg, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Braxton County Memorial Hospital, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and West Virginia.

Years since qualifying
11
Licensed in
PA, WV
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

18 Deatrick Dr
Gettysburg, PA 17325-6958
Phone: (717) 339-2500
Fax: (717) 339-2502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Fairview Heights Rd Ste 201, Summersville, WV 26651-9308 — (304) 872-8531

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA058345 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 2725 (WV)

Record details

NPI number1467834903
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2015
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Braxton County Memorial Hospital — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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