Individual provider Active NPI

James Dennis Barber, OD

  • Optometrist
  • Covington, GA
National Provider Identifier
1194802769
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1004-T Issued in GA
Practice address
5165 Cook St NE
Covington, GA 30014-6207
Phone
(770) 787-2400
Fax
(770) 787-4000
NPI assigned
Nov 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1004-T GA Primary

Addresses

Primary practice location

5165 Cook St NE
Covington, GA 30014-6207

Mailing address

5165 Cook St NE
Covington, GA 30014-6207
Phone (770) 787-2400

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000314 GA Practitioner - Optometry 4981701059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Ophthalmologists LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

4159 Mill St NE
Covington, GA 30014
Phone (770) 786-1234

5165 Cook St NE
Covington, GA 30014
Phone (770) 786-1234

860 W 3rd St
Jackson, GA 30233
Phone (770) 775-1234

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194802769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 COOK ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146207",
            "telephone_number": "770-787-2400",
            "fax_number": "770-787-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 COOK ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146207",
            "telephone_number": "770-787-2400",
            "fax_number": "770-787-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "JAMES",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1004-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.