Individual provider Active NPI

Kelly Smith Barnes, APRN

  • Primary Care Nurse Practitioner
  • Martin, TN
National Provider Identifier
1194098145
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN16412 Issued in TN
Practice address
215 Hawks Rd Ste 6
Martin, TN 38237-2742
Phone
(731) 281-7501
Fax
(731) 281-7503
NPI assigned
Feb 21, 2012
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007336 KY
Primary Care Nurse Practitioner 363LP2300X APN16412 TN Primary

Addresses

Primary practice location

215 Hawks Rd Ste 6
Martin, TN 38237-2742

Mailing address

215 Hawks Rd Ste 6
Martin, TN 38237-2742
Phone (731) 281-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150818006137 TN Practitioner - Nurse Practitioner 9638316086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dyersburg Family Walk-in ClinicGroup PAC ID 5991793879, 24 clinicians
Premier Primary Care Clinic IncGroup PAC ID 6800256512, 4 clinicians

Practice addresses (Care Compare)

1516 E Reelfoot Ave
Union City, TN 38261-5850
Phone (731) 886-8662

2017 St John Ave B
Dyersburg, TN 38024-2209
Phone (731) 285-6110

215 Hawks Rd
Suite 6
Martin, TN 38237-2742
Phone (731) 281-7501

8633 Hwy 22
Dresden, TN 38225-2309
Phone (731) 364-5613

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007336KYMDFamily Nurse Practitioner
APN16412TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dyersburg Family Walk-in Clinic LLC CurrentSince May 9, 2015 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Premier Primary Care Clinic Inc CurrentSince Feb 16, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Independent Radiology Associates PLC PastSince Mar 30, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

130 E Locust St
Dresden, TN 38225
Phone (731) 364-3196

8633 Highway 22
Dresden, TN 38225
Phone (731) 364-5613

1954 Saint John Ave
Ste 1
Dyersburg, TN 38024
Phone (731) 285-6110

2017 Saint John Ave
Dyersburg, TN 38024
Phone (731) 285-6110

2017 Saint John Ave
Ste B
Dyersburg, TN 38024
Phone (731) 285-6110

215 Hawks Rd
Ste 6
Martin, TN 38237
Phone (731) 281-7501

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1194098145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HAWKS RD STE 6",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372742",
            "telephone_number": "731-281-7501",
            "fax_number": "731-281-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HAWKS RD STE 6",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372742",
            "telephone_number": "731-281-7501",
            "fax_number": "731-281-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KELLY",
        "middle_name": "SMITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007336",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN16412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.