Individual provider Active NPI

Jerry Wayne Barton Jr., NP

  • Family Nurse Practitioner
  • Gulf Shores, AL
National Provider Identifier
1124543798
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-135758 Issued in AL
Practice address
101 E 15TH Ave
Gulf Shores, AL 36542-3501
Phone
(251) 962-1250
Fax
(251) 967-7832
NPI assigned
Aug 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-135758 AL Primary

Addresses

Primary practice location

101 E 15TH Ave
Gulf Shores, AL 36542-3501

Mailing address

101 E 15TH Ave
Gulf Shores, AL 36542-3501
Phone (251) 962-1250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerry.barton.1@1599.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011003247 AL Practitioner - Nurse Practitioner 6305111618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians

Practice addresses (Care Compare)

101 E 15TH Ave
Gulf Shores, AL 36542-3501
Phone (251) 962-1250

161 W Peachtree St
Foley, AL 36535-2239
Phone (251) 970-1090

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-135758ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foley Clinic Corp CurrentSince Jul 1, 2018 Accepting new patients
Foley Clinic Corp CurrentSince Jul 1, 2018 Accepting new patients
Pulmonary Associates of Mobile PC Past Accepting new patients

Locations

161 W Peachtree Ave
Foley, AL 36535
Phone (251) 943-5511

101 E 15th Ave
Gulf Shores, AL 36542
Phone (251) 962-1250

Interoperability endpoints

  • Direct secure messaging: jerry.barton.1@1599.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4

Organizations & group practices 3

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1124543798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 15TH AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423501",
            "telephone_number": "251-962-1250",
            "fax_number": "251-967-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 15TH AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423501",
            "telephone_number": "251-962-1250",
            "fax_number": "251-967-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "JERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-135758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerry.barton.1@1599.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "101 E 15th Ave",
            "city": "Gulf Shores",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365423501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

Verify at the official NPI Registry.