Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1922464429 Deactivated / Inactive NPI Male Practitioner

Charles Bailey

Peer Specialist • Flushing, NY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Bailey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 13, 2016
NPI Deactivation Date April 23, 2026
Total Practice Duration ~10 Years of Practice (2016 – 2026)

Professional Overview & Biography Verified Profile Summary

Charles Bailey was a registered Peer Specialist practicing in Flushing, NY. Throughout an active medical career spanning 10 years, Charles Bailey provided care at the practice location at 14202 20TH AVE until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

14202 20th Ave

Flushing, NY 113513000

Telephone 3479243562

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Flushing, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dominique Fleurimon

Student in an Organized Health Care Education/Training Program

NPI 1043714496
Roy Wilson

Student in an Organized Health Care Education/Training Program

NPI 1053869446
Jeremy James

Student in an Organized Health Care Education/Training Program

NPI 1063020519
Ashlyn Schurade

Student in an Organized Health Care Education/Training Program

NPI 1063967180
Nicole Holder , REGISTERED NURSE

Registered Nurse - General Practice

NPI 1073004628

REGISTEREDNURSE

Katianna Valere

Student in an Organized Health Care Education/Training Program

NPI 1083147607

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active January 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2016

Registered at 14202 20TH AVE, FLUSHING, NY 113513000 (Tel: 3479243562)

📍
Updated Business Mailing Address January 13, 2016

Registered at 14202 20TH AVE, FLUSHING, NY 113513000 (Tel: 3479243562)

👤
Provider Name / Credentials Updated January 13, 2016

Recorded as CHARLES BAILEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2016

Peer Specialist

🟢
Initial NPI Registration & Enumeration January 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Charles Bailey. Be the first to share your experience!

Sign in to leave a review for Charles Bailey

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1922464429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2016
Last Update: January 13, 2016
Deactivation Date: April 23, 2026

Mailing Address

14202 20th Ave

Flushing, NY 113513000

Phone: 3479243562

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.