Chanell Chevelle Barnes, CPNP-PC
Individual provider Active NPI Primary Care Nurse Practitioner · Columbus, MS
NPI 1164978151 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1164978151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 901421 (MS)
- Practice address
- 200 Park Creek Dr
Columbus, MS 39705-1309 - Phone
- (662) 327-8410
- Fax
- (662) 327-9749
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170804001161 | MS | Practitioner - Nurse Practitioner | 5496026791 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients |
Locations
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
200 Park Creek Dr
Columbus, MS 39705
Phone (662) 327-8410
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 901421 | MS | |
| Pediatric Nurse Practitioner | 363LP0200X | 901421 | MS | |
| Primary Care Nurse Practitioner | 363LP2300X | 901421 | MS | Yes |
Addresses
Primary practice location
200 Park Creek Dr
Columbus, MS 39705-1309
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other providers in Columbus, MS
- Bipasha Barat
- Bryson David Barefoot
- Barksdale Missions, LLC
- Ashley Barksdale
- Ashley Barnes
- James Andrew Barnes
- Cynthia Barrett
- Karen Barrett
- Paul Wesley Barrett
- Lauren M Barrier
All providers in Columbus, MS · Primary Care Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.