NPIMap

Organization Active NPI

Barnes Drug Stores of Valdosta Inc

  • Durable Medical Equipment & Medical Supplies
  • Tifton, GA
National Provider Identifier
1306065255
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BARNES DRUG STORES OF VALDOSTA INC
Practice address
2201 US Highway 41 N
Unit K
Tifton, GA 31794-2767
Phone
(229) 391-9114
Fax
(229) 391-9265
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Charles W Barnes IV
Title
Ceo and Owner
Phone
(229) 245-6039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2201 US Highway 41 N
Unit K
Tifton, GA 31794-2767

Mailing address

PO Box 1187
Valdosta, GA 31603-1187
Phone (229) 245-6039

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
O20100930079482 GA DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7214055771 Practice locations: Tifton, GA

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Barnes Healthcare Services2201 US Hwy 41N, Tifton, GA 31794(229) 391-9114 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Whe… Accepts assignmentParticipating since Jan 6, 2020

National Provider Directory

National Provider Directory
Tax ID family
Barnes Drug Store of Vldsta6 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2201 US Highway 41 N
Ste K
Tifton, GA 31794
Phone (229) 391-9114

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1306065255",
    "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": "229-245-6039",
            "fax_number": "888-276-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 US HIGHWAY 41 N",
            "address_2": "UNIT K",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942767",
            "telephone_number": "229-391-9114",
            "fax_number": "229-391-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES DRUG STORES OF VALDOSTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "229-245-6039",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnes Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barnes Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.