NPIMap

Organization Active NPI

Barnes Drug Stores of Valdosta, Inc

Doing business as Barnes Healthcare Services

  • Home Infusion Therapy Pharmacy
  • Atlanta, GA
National Provider Identifier
1285966259
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHHHH000048 Issued in GA
Legal business name
BARNES DRUG STORES OF VALDOSTA, INC
Doing business as
Barnes Healthcare Services
Practice address
2030 Powers Ferry Rd SE
Suite 325
Atlanta, GA 30339-2823
Phone
(678) 627-0077
NPI assigned
Feb 2, 2010
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Charles Barnes IV
Title
Owner/Ceo
Phone
(229) 245-6001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2010#135758 GA
Home Infusion Therapy Pharmacy 3336H0001X PHHHH000048 GA Primary

Addresses

Primary practice location

2030 Powers Ferry Rd SE
Suite 325
Atlanta, GA 30339-2823

Mailing address

PO Box 1187
Valdosta, GA 31603-1187
Phone (229) 245-6001

Other identifiers 1

IdentifierTypeStateIssuer
00021645IMedicaidGA

Other names 1

  • Barnes Healthcare Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930005451 GA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - PharmacyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Registered Pharmacist 7214055771 Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Barnes Health Care Serv6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2030 Powers Ferry Rd SE
Ste 325
Atlanta, GA 30339
Phone (404) 987-1101

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1285966259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316031187",
            "telephone_number": "229-245-6001",
            "fax_number": "888-276-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 POWERS FERRY RD SE",
            "address_2": "SUITE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392823",
            "telephone_number": "678-627-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES DRUG STORES OF VALDOSTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "229-245-6001",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2010#135758",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "PHHHH000048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00021645I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnes Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.