Individual provider Active NPI

Esther Barnes Klein, CNP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1225484165
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209634 Issued in GA
Practice address
4800 Olde Towne Pkwy Ste 150a
Marietta, GA 30068-4357
Phone
(770) 509-1025
Fax
(770) 509-1884
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN209634 GA Primary

Addresses

Primary practice location

4800 Olde Towne Pkwy Ste 150a
Marietta, GA 30068-4357

Mailing address

101 Yorktown Dr
Suite 110
Fayetteville, GA 30214-1578
Phone (678) 364-5400

Other practice location 1

101 Yorktown Dr
Suite 110
Fayetteville, GA 30214-1578
Phone (678) 364-5400

Other identifiers 4

IdentifierTypeStateIssuer
003178404BMedicaidGA
003178404CMedicaidGA
003178404AMedicaidGA
003178404DMedicaidGA

Other names 1

  • Esther M Barnes Former name

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823001446 GA Practitioner - Nurse Practitioner 8123313608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Practice addresses (Care Compare)

4800 Olde Towne Pkwy
Suite 150a
Marietta, GA 30068-4357
Phone (770) 509-1025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN209634GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Urgent Care Holding, LLC CurrentSince Jul 19, 2016 Accepting new patients
Peachtree City Urgent Care, Inc CurrentSince Feb 17, 2018 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000

4800 Olde Towne Pkwy
Ste 150A
Marietta, GA 30068
Phone (770) 509-1025

8 Eastbrook Bnd
#B
Peachtree Cty, GA 30269
Phone (770) 487-2273

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1225484165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 YORKTOWN DR",
            "address_2": "SUITE 110",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141578",
            "telephone_number": "678-364-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 OLDE TOWNE PKWY STE 150A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684357",
            "telephone_number": "770-509-1025",
            "fax_number": "770-509-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Yorktown Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302141578",
            "country_code": "US",
            "telephone_number": "678-364-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ESTHER",
        "middle_name": "BARNES",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003178404B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003178404C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003178404A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003178404D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "BARNES",
            "middle_name": "M",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.