Individual provider Active NPI

Charlton Dean Barber

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1124607783
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP140828 Issued in GA
Practice address
1360 Caduceus Way BLDG 300
Watkinsville, GA 30677-7300
Phone
(706) 850-4985
NPI assigned
Apr 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 APRN-NP140828 GA Primary

Addresses

Primary practice location

1360 Caduceus Way BLDG 300
Watkinsville, GA 30677-7300

Mailing address

1360 Caduceus Way BLDG 300
Watkinsville, GA 30677-7300
Phone (706) 850-4985

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002073 GA Practitioner - Nurse Practitioner 2769825470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PC 425 clinicians

Practice addresses (Care Compare)

110 Banks Crossing Dr
Suite 110
Commerce, GA 30529-6606
Phone (762) 244-5310

1305 Jennings Mill Rd
Suite 120
Watkinsville, GA 30677-7241
Phone (706) 410-2005

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

485 Hwy 29 N
Athens, GA 30601-5583
Phone (706) 438-4080

528 Panther Dr
Jefferson, GA 30549-5400
Phone (706) 395-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP140828GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dima Care, Inc CurrentSince Feb 1, 2024 Accepting new patients
Wellstreet of Georgia PC CurrentSince Oct 3, 2024 Accepting new patients
Athens Digestive Healthcare Associates CurrentSince Dec 24, 2023 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

415 Pottery Factory Dr
Commerce, GA 30529
Phone (706) 336-0074

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1124607783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY BLDG 300",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777300",
            "telephone_number": "706-850-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY BLDG 300",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777300",
            "telephone_number": "706-850-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "CHARLTON",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP140828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.