Individual provider Active NPI

Thomas Bayard O'Barr Jr., M.D.

  • Internal Medicine Physician
  • Woodstock, GA
National Provider Identifier
1255334033
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024472 Issued in GA
Practice address
1192 Buckhead Xing Ste E
Woodstock, GA 30189-4255
Phone
(678) 494-4450
Fax
(678) 494-6265
NPI assigned
May 24, 2005
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024472 GA Primary

Addresses

Primary practice location

1192 Buckhead Xing Ste E
Woodstock, GA 30189-4255

Mailing address

1192 Buckhead Xing Ste E
Woodstock, GA 30189-4255
Phone (678) 494-4450

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000456 GA Practitioner - Internal Medicine 1557314788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024472GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Internal Medicine, PC Internal Medicine CurrentSince Mar 20, 2018 Accepting new patients
O'Barr Internal Medicine, PC Internal Medicine CurrentSince Jun 22, 2009 Accepting new patients
Primary Care Partners, PC Internal Medicine Past Accepting new patients
Wellstar Internal Medicine Associates of Marietta, LLC Internal Medicine Past Accepting new patients

Locations

1431 White Cir
Ste E
Marietta, GA 30066
Phone (678) 797-6820

1810 White Cir
Ste 105
Marietta, GA 30066
Phone (678) 797-6820

1192 Buckhead Xing
Ste E
Woodstock, GA 30189
Phone (678) 494-4450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20065/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1255334033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 BUCKHEAD XING STE E",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894255",
            "telephone_number": "678-494-4450",
            "fax_number": "678-494-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 BUCKHEAD XING STE E",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894255",
            "telephone_number": "678-494-4450",
            "fax_number": "678-494-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BARR",
        "first_name": "THOMAS",
        "middle_name": "BAYARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "024472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.