Active NPI
Charlton Dean Barber
- Family Nurse Practitioner
- Watkinsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP140828
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP140828 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dima Care, Inc | Current | Accepting new patients | |
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Athens Digestive Healthcare Associates | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.