Active NPI
T Ellis Barnes IV, M.D.
- Surgery Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 81556
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003212562A | Medicaid | GA |
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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 35 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 22 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Surgical PC | Surgery | Current | Accepting new patients |
| Savannah Multispecialty Associates, LLC | Surgery | Current | Accepting new patients |
| Metro Surgical, PC | Surgery | Current | 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.
-
- Trauma Surgery Physician
- Savannah, GA
- NPI 1528571320
-
- Surgery Physician
- Rincon, GA
- NPI 1902823024
-
- Surgery Physician
- Bluffton, SC
- NPI 1033481551
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.