Organization Active NPI

Barnes Family Medical Associates PC

  • Family Medicine Physician
  • Evergreen, AL
National Provider Identifier
1215095237
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14585 Issued in AL
Legal business name
BARNES FAMILY MEDICAL ASSOCIATES PC
Practice address
680 West Front St
Evergreen, AL 36401-3005
Phone
(251) 578-5111
Fax
(251) 578-5991
NPI assigned
Dec 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stanley Barnes, MDNPI 1518915255
Title
President
Phone
(251) 578-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000589 AL Part B Supplier - Clinic/Group Practice 6103844840 Receives reassigned benefits from 1 practitioner
Practice locations: Evergreen, AL

National Provider Directory

National Provider Directory

Locations

520 Belleville St
Evergreen, AL 36401
Phone (251) 578-5111

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 14585 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

680 West Front St
Evergreen, AL 36401-3005

Mailing address

680 West Front St
Evergreen, AL 36401-3005
Phone (251) 578-5111

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
529600080MedicaidAL
000081517MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2010.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1215095237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WEST FRONT ST",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364013005",
            "telephone_number": "251-578-5111",
            "fax_number": "251-578-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WEST FRONT ST",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364013005",
            "telephone_number": "251-578-5111",
            "fax_number": "251-578-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES FAMILY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-578-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529600080",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000081517",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.