Active NPI
Barnes Family Medical Associates PC
- Family Medicine Physician
- Evergreen, AL
National Provider Identifier
1215095237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14585
- 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, MD
- 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.
-
- Obstetrics & Gynecology Physician
- Andalusia, AL
- NPI 1205838927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051110000589 | AL | Part B Supplier - Clinic/Group Practice | 6103844840 |
Receives reassigned benefits from 1 practitioner Practice locations: Evergreen, AL |
National Provider Directory
National Provider DirectoryLocations
520 Belleville St
Evergreen, AL 36401
Phone (251) 578-5111
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14585 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529600080 | Medicaid | AL | |
| 000081517 | Medicaid | AL |
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.