NPIMap

Individual provider Active NPI

William Edris Barnes II, MD

  • General Practice Physician
  • Salem, KY
National Provider Identifier
1215985148
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21949 Issued in KY
Practice address
141 Hospital Dr Ste 102
Salem, KY 42078-8043
Phone
(270) 988-3298
Fax
(270) 988-4642
NPI assigned
May 4, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21949 KY
General Practice Physician 208D00000X 21949 KY Primary

Addresses

Primary practice location

141 Hospital Dr Ste 102
Salem, KY 42078-8043

Mailing address

141 Hospital Drive
PO Box 347
Salem, KY 42078-0347
Phone (270) 988-3298

Other practice location 1

141 Hospital Dr Ste 103
Salem, KY 42078-8043
Phone (270) 988-3298

Other practice location 2

308 S Main St
Marion, KY 42064-1545
Phone (270) 965-4377

Other names 1

  • Dr. William Edris Barnes Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000387 KY Practitioner - General PracticePractitioner - General Surgery 3476643057 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Rivers Healthcare PLLCGroup PAC ID 8426965278, 14 clinicians

Practice addresses (Care Compare)

131 Hospital Dr
Salem, KY 42078-8043
Phone (270) 988-7208

141 Hospital Dr
Suite 102
Salem, KY 42078-8043
Phone (270) 988-3298

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy52
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux246
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crittenden Community Hospital LLC CurrentSince Apr 29, 2019 Accepting new patients
Crittenden Community Hospital LLC CurrentSince Apr 29, 2019 Accepting new patients
Concord Medical Group of Kentucky PLLC CurrentSince May 1, 2025 Accepting new patients
Family Practice Clinic PSC Current Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Current Accepting new patients
Tri-Rivers Healthcare PLLC Surgery Current Accepting new patients
Tri-Rivers Healthcare PLLC Surgery CurrentSince Jan 1, 2000 Accepting new patients
Tri-Rivers Healthcare PLLC Surgery CurrentSince Jan 1, 2000 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Past Accepting new patients
Tri-Rivers Healthcare, PLLC Surgery Past Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Past Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

308 S Main St
Marion, KY 42064
Phone (270) 965-4377

131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299

141 Hospital Dr
Salem, KY 42078
Phone (270) 988-3298

141 Hospital Dr
Ste 102
Salem, KY 42078
Phone (270) 988-3298

141 Hospital Dr
Ste 103
Salem, KY 42078
Phone (270) 988-3298

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17246/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb
  • Direct secure messaging: william.barnes.1@17246.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Livingston Hospital and HealthcareSalem, KY, CCN 181320 Hospital Corporate Director May 1, 1986
Livingston Hospital and Healthcare Services, Inc.Salem, KY, CCN 18Z320 Hospital Corporate Director May 1, 1986
Grand Lakes ClinicGrand Rivers, KY, CCN 183448 Rural health clinic Corporate Director May 1, 1986
Marion Physisicans ClinicMarion, KY, CCN 183960 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
Corporate Director (100%)		 Feb 25, 2008
Feb 25, 2008
Smithland Medical ClinicSmithland, KY, CCN 183962 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director		 Feb 25, 2008
Feb 25, 2008
Salem Medical ClinicSalem, KY, CCN 183961 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director		 Feb 25, 2008
Feb 25, 2008
Eddyville Family MedicalEddyville, KY, CCN 183481 Rural health clinic Corporate Director May 1, 1986
Livingston Hospital and Healthcare Services, Inc.Salem, KY, CCN 188534 Rural health clinic Corporate Director May 1, 1986
Livingston Hospital Family ClinicMarion, KY, CCN 188570 Rural health clinic Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1215985148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HOSPITAL DRIVE",
            "address_2": "PO BOX 347",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420780347",
            "telephone_number": "270-988-3298",
            "fax_number": "270-988-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HOSPITAL DR STE 102",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420788043",
            "telephone_number": "270-988-3298",
            "fax_number": "270-988-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Hospital Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "KY",
            "postal_code": "420788043",
            "country_code": "US",
            "telephone_number": "270-988-3298",
            "fax_number": "270-988-4642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 S Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "KY",
            "postal_code": "420641545",
            "country_code": "US",
            "telephone_number": "270-965-4377",
            "fax_number": "270-965-9569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "WILLIAM",
        "middle_name": "EDRIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "21949",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "21949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "BARNES",
            "middle_name": "EDRIS",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, KY

Sources for this page

Verify at the official NPI Registry.