Individual provider Active NPI

Dana Carol Barnes, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1013178581
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12156 Issued in FL
Practice address
4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9506
Phone
(904) 508-0710
Fax
(855) 299-7010
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12156 FL Primary

Addresses

Primary practice location

4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9506

Mailing address

Dept. #394
P.O. Box 1000
Memphis, TN 38148
Phone (941) 300-4440

Other practice location 1

1435 Dunn Ave Ste 101
Daytona Beach, FL 32114-1434
Phone (386) 274-7651

Other practice location 2

601 Matlock Centre Cir
Arlington, TX 76015-2535
Phone (817) 693-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219002585 FL Practitioner - Family Practice 7416218276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4615 Philips Hwy
Suite 3
Jacksonville, FL 32207-9506

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12156FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Sep 1, 2025 Accepting new patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

611 E Adams St
Jacksonville, FL 32202
Phone (904) 359-0457

850 6th Ave S
Ste 500
Jacksonville Beach, FL 32250
Phone (904) 224-3550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJEEBD
  • Direct secure messaging: dana.odombarnes@can.eclinicaldirectplus.com
  • Direct secure messaging: dana.barnes.1@21075.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1013178581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. #394",
            "address_2": "P.O. BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38148",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 PHILIPS HWY STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079506",
            "telephone_number": "904-508-0710",
            "fax_number": "855-299-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 Dunn Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321141434",
            "country_code": "US",
            "telephone_number": "386-274-7651",
            "fax_number": "877-242-5455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Matlock Centre Cir",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152535",
            "country_code": "US",
            "telephone_number": "817-693-1000",
            "fax_number": "866-950-0295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "DANA",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "12156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.