Individual provider Active NPI

T Ellis Barnes IV, M.D.

  • Surgery Physician
  • Savannah, GA
National Provider Identifier
1174884233
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
81556 Issued in GA
Practice address
5354 Reynolds Street
Ste #202
Savannah, GA 31405
Phone
(912) 352-0920
Fax
(912) 826-2853
NPI assigned
Jun 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 81556 GA Primary

Addresses

Primary practice location

5354 Reynolds Street
Ste #202
Savannah, GA 31405

Mailing address

P.O. Box 919
Rincon, GA 31326-0919
Phone (912) 826-4057

Other identifiers 1

IdentifierTypeStateIssuer
003212562AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190208002568 GA Practitioner - General Surgery 9537407903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

4700 Waters Ave
1St Floor Mus BLDG
Savannah, GA 31404-6220
Phone (912) 350-7020

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)35
Upper gastrointestinal (GI) endoscopy for acid reflux22
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Surgical PC Surgery CurrentSince Oct 1, 2018 Accepting new patients
Savannah Multispecialty Associates, LLC Surgery CurrentSince Mar 20, 2023 Accepting new patients
Metro Surgical, PC Surgery CurrentSince Oct 1, 2018 Accepting new patients
Savannah Health Services, LLC Past Accepting new patients

Locations

3780 US Highway 17
Richmond Hill, GA 31324
Phone (912) 756-2292

594 S Columbia Ave
Ste 100
Rincon, GA 31326
Phone (248) 412-3450

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

5354 Reynolds St
Ste 202
Savannah, GA 31405
Phone (912) 352-0920

4700 Waters Ave
Fl 1
Savannah, GA 31404
Phone (912) 350-3438

1707 Meadows Ln
Ste E
Vidalia, GA 30474
Phone (912) 355-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1174884233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 919",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313260919",
            "telephone_number": "912-826-4057",
            "fax_number": "912-826-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS STREET",
            "address_2": "STE #202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-352-0920",
            "fax_number": "912-826-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "T",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "81556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003212562A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.