Individual provider Active NPI

Laurel Barnes, MD

  • Surgical Oncology Physician
  • Atlanta, GA
National Provider Identifier
1083092142
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
96838 Issued in GA
Practice address
1100 Johnson Ferry Rd Ste 41
Atlanta, GA 30342-1709
Phone
(404) 851-6174
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X MD477482 PA
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Oncology Physician 2086X0206X 96838 GA Primary

Addresses

Primary practice location

1100 Johnson Ferry Rd Ste 41
Atlanta, GA 30342-1709

Mailing address

1100 Johnson Ferry Rd Ste 410
Atlanta, GA 30342-1709
Phone (404) 847-0664

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929001423 GA Practitioner - General Surgery 2163733767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1100 Johnson Ferry Rd
Suite 410
Atlanta, GA 30342-1709
Phone (404) 847-0664

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96838GAMDSurgical Oncology Physician
MD477482PAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste A415
Alpharetta, GA 30005
Phone (678) 352-0254

1110 W Peachtree St NW
Ste 860
Atlanta, GA 30309
Phone (678) 538-1968

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1100 Johnson Ferry Rd
Ste 410
Sandy Springs, GA 30342
Phone (404) 847-0664

1100 Johnson Ferry Rd
Bldg 1
Sandy Springs, GA 30342
Phone (404) 252-2666

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

4298 Atlanta Rd SE
Ste 320
Smyrna, GA 30080
Phone (470) 242-0717

4298 W Atlanta Rd SE
Ste 320
Smyrna, GA 30080

1462 Montreal Rd
Ste 303
Tucker, GA 30084
Phone (404) 508-4320

Interoperability endpoints

  • Direct secure messaging: dr_laurel_barnes_-_surgical_resident@yourcarecommunity.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1083092142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-847-0664",
            "fax_number": "404-250-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 41",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-851-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LAUREL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD477482",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "GA",
            "license": "96838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.