Active NPI
Shannon T Barton
- Family Medicine Physician
- Monticello, GA
National Provider Identifier
1295738722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 048843
- Practice address
- 545 Venture Court
Monticello, GA 31064 - Phone
- (706) 468-7002
- Fax
- (706) 468-7020
- NPI assigned
- May 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 048843 | GA | Primary |
Addresses
Primary practice location
545 Venture Court
Monticello, GA 31064
Mailing address
545 Venture Court
Monticello, GA 31064
Phone (706) 468-7002
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000875025E | Medicaid | GA | |
| 048843 | Other | GA | STATE LICENSE |
| P00143999 | Other | GA | RAILROAD MEDICARE |
| 806988 | Other | GA | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040825000071 | GA | Practitioner - Family Practice | 6800860875 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Mercer University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Qcpi-Villagemd PCPhysiotherapy Associates Inc
Practice addresses (Care Compare)
1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436
545 Venture CT
Monticello, GA 31064-7788
Phone (706) 468-7002
9152 Hwy 278 NE
Covington, GA 30014-7010
Phone (678) 342-9339
Hospital & facility affiliations
- Enhabit Home Health
- Amedisys Home Health of Covington
- Jasper Memorial Hospital
- Piedmont Newton Hospital
- Putnam General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048843 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venture Medical Associates LLC | Family Medicine | Current | Accepting new patients |
| Jameson a Estes, MD, PC | Family Medicine | Current | Accepting new patients |
| Central Georgia Heart Center, PC | Past | Accepting new patients |
Locations
794 McDonough Rd
Ste 108
Jackson, GA 30233
Phone (470) 251-2010
210 College St
McDonough, GA 30253
Phone (470) 878-6401
545 Venture Ct
Monticello, GA 31064
Phone (706) 468-7002
Interoperability endpoints
- shannon.barton.1@21533.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Monticello, GA
- NPI 1407281470
Family Medicine
-
- Rural Health Clinic/Center
- Monticello, GA
- NPI 1508720822
-
- Cardiovascular Disease Physician
- Macon, GA
- NPI 1780779363
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Covington, GA
- NPI 1134177835
-
- Home Health Agency
- Hartwell, GA
- NPI 1740268176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1295738722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 VENTURE COURT",
"city": "MONTICELLO",
"state": "GA",
"postal_code": "31064",
"telephone_number": "706-468-7002",
"fax_number": "706-468-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 VENTURE COURT",
"city": "MONTICELLO",
"state": "GA",
"postal_code": "31064",
"telephone_number": "706-468-7002",
"fax_number": "706-468-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTON",
"first_name": "SHANNON",
"middle_name": "T",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-30",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "048843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000875025E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "048843",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00143999",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "806988",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monticello, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.