IndividualActive
Bayley Shields, PA-C
NPI 1073311189 · Surgical Physician Assistant · Jackson, TN
Provider details
- NPI number
- 1073311189
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 6632 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone: (731) 613-3334
Approximate (ZIP-level) locationGet directions
Mailing address
111 Stonebridge Blvd
Jackson, TN 38305-2040
Registry dates
- Enumerated
- 2025-03-04
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.