Individual provider Active NPI

Amber Allen Barry, MD

  • Emergency Medicine Physician
  • Springfield, TN
National Provider Identifier
1124003504
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L7643 Issued in TX
Practice address
100 Northcrest Dr
Springfield, TN 37172-3927
Phone
(615) 384-2411
NPI assigned
Dec 8, 2005
Last updated
Jun 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L7643 TX Primary

Addresses

Primary practice location

100 Northcrest Dr
Springfield, TN 37172-3927

Mailing address

2119 Sharondale Dr
Nashville, TN 37215-1211
Phone (615) 962-2211

Other identifiers 2

IdentifierTypeStateIssuer
8C0839OtherTXBCBS
164812302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080417000565 TN Practitioner - Emergency Medicine 8325950850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43175TNMDPharmacist
L7643TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Yellow Poplar Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Caleb Creek Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Affilion of Texas PLLC Past Accepting new patients

Locations

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

3001 Reserve Blvd
Spring Hill, TN 37174
Phone (931) 489-1100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1124003504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 SHARONDALE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372151211",
            "telephone_number": "615-962-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723927",
            "telephone_number": "615-384-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "AMBER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L7643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8C0839",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164812302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

Verify at the official NPI Registry.