Individual provider Active NPI

Taylor Nicole Barger, PA-C

  • Physician Assistant
  • Lanham, MD
National Provider Identifier
1164988770
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C07135 Issued in MD
Practice address
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone
(301) 552-8665
NPI assigned
Feb 19, 2019
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C07135 MD Primary

Addresses

Primary practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

3650 S Glebe Rd Unit 344
Arlington, VA 22202-2393
Phone (305) 332-0109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, GA, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190530001721 DC Practitioner - Physician Assistant 7113260498 Reassigns benefits to 3 organizations
I20230726003862 GA Practitioner - Physician Assistant 7113260498 Reassigns benefits to 1 organization
I20231024001752 SC Practitioner - Physician Assistant 7113260498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Berwick LLCGroup PAC ID 4789900051, 9 clinicians

Practice addresses (Care Compare)

5730 Ogeechee Rd
Suite 192
Savannah, GA 31405-9521
Phone (912) 201-1140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4913SCMDSpeech-Language Pathologist
C07135MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 9, 2019 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Jan 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 9, 2019 Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 6

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1164988770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 S GLEBE RD UNIT 344",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022393",
            "telephone_number": "305-332-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "301-552-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGER",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.