Active NPI
Jordan Barr
- Physician Assistant
- Eatonton, GA
National Provider Identifier
1003495508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10490
- Practice address
- 119 Harmony Xing Ste 1
Eatonton, GA 31024-9571 - Phone
- (762) 220-1880
- Fax
- (762) 220-1181
- NPI assigned
- Apr 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10490 | GA | Primary |
Addresses
Primary practice location
119 Harmony Xing Ste 1
Eatonton, GA 31024-9571
Mailing address
3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Phone (706) 353-2990
Other practice location 1
3320 Old Jefferson Rd Bldg 700
Athens, GA 30607-1465
Phone (706) 353-2990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Mercer University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
119 Harmony Xing
Suite 1
Eatonton, GA 31024-9571
Phone (762) 220-1880
3320 Old Jefferson Rd
BLDG 700
Athens, GA 30607-1465
Phone (706) 353-2990
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Athens, GA
- NPI 1346343761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1003495508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD BLDG 800",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071400",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 HARMONY XING STE 1",
"city": "EATONTON",
"state": "GA",
"postal_code": "310249571",
"telephone_number": "762-220-1880",
"fax_number": "762-220-1181"
}
],
"practiceLocations": [
{
"address_1": "3320 Old Jefferson Rd Bldg 700",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306071465",
"country_code": "US",
"telephone_number": "706-353-2990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARR",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-03",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "GA",
"license": "10490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eatonton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.