Individual provider Active NPI

Barry L Justice, MD

  • Pediatrics Physician
  • Greenville, TX
National Provider Identifier
1205829462
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G1929 Issued in TX
Practice address
5101 Wellington St Unit C
Greenville, TX 75402-6040
Phone
(903) 455-3261
Fax
(903) 455-0211
NPI assigned
Aug 23, 2005
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G1929 TX Primary

Addresses

Primary practice location

5101 Wellington St Unit C
Greenville, TX 75402-6040

Mailing address

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5834

Other identifiers 1

IdentifierTypeStateIssuer
121469402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1929TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Memorial Hospital District CurrentSince Jul 20, 2024 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jul 20, 2024 Accepting new patients
Hunt Regional Medical Partners Past Accepting new patients

Locations

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

4818 Wellington St
Ste 1
Greenville, TX 75402
Phone (903) 408-5860

501 Air Park Ave
Greenville, TX 75402
Phone (800) 806-2067

5101 Wellington St
Unit C
Greenville, TX 75402
Phone (903) 455-3261

Interoperability endpoints

  • Direct secure messaging: barry.justice.1@9148.direct.athenahealth.com

Organizations & group practices 3

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1205829462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5834",
            "fax_number": "903-408-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WELLINGTON ST UNIT C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026040",
            "telephone_number": "903-455-3261",
            "fax_number": "903-455-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "BARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G1929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121469402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.