NPIMap

Individual provider Active NPI

Jared Shelby Barber, MD

  • Family Medicine Physician
  • Blountstown, FL
National Provider Identifier
1104486588
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME149161 Issued in FL
Practice address
20370 NE Burns Ave
Blountstown, FL 32424-1045
Phone
(850) 237-3000
NPI assigned
Jun 18, 2019
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 ME149161 FL Primary

Addresses

Primary practice location

20370 NE Burns Ave
Blountstown, FL 32424-1045

Mailing address

20370 NE Burns Ave
Blountstown, FL 32424-1045
Phone (850) 237-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000573 FL Practitioner - Family Practice 8022344522 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, shared by 68 NPIs, 126 clinicians
Calhoun-Liberty Hospital Association IncGroup PAC ID 8820007016, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

10971 NW Spring St
Bristol, FL 32321-6917
Phone 85064324156005

16257 State Rd 71
Blountstown, FL 32424-2808
Phone (850) 674-5411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149161FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Oct 1, 2021 Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jul 1, 2022 Accepting new patients
Florida Department of Health CurrentSince Jul 11, 2022 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Florida Department of Health CurrentSince Jul 11, 2022 Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jul 1, 2022 Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jan 12, 2023 Accepting new patients
Florida Department of Health CurrentSince Jul 11, 2022 Accepting new patients
Calhoun Liberty Hospital Association, Inc. Past Accepting new patients

Locations

16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411

19611 State Road 20 W
Blountstown, FL 32424
Phone (850) 674-5645

20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000

10971 NW Spring St
Bristol, FL 32321
Phone (850) 643-2292

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1002 N Arnold Rd
Unit 101
Panama City Beach, FL 32413
Phone (850) 238-4100

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1301 Hodges Dr
#2
Tallahassee, FL 32308

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
  • Direct secure messaging: jared.barber.1@29055.direct.athenahealth.com
  • Direct secure messaging: jbarber36904@tallahasseememorial.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1104486588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20370 NE BURNS AVE",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241045",
            "telephone_number": "850-237-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 NE BURNS AVE",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241045",
            "telephone_number": "850-237-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "JARED",
        "middle_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME149161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.