Elisabeth Barclay, MD
Individual provider Active NPI Neurology Physician · Gainesville, GA
NPI 1326245366 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1326245366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 056406 (GA)
- Practice address
- 200 Wisteria Dr
Gainesville, GA 30501-3827 - Phone
- (770) 219-5407
- Fax
- (770) 219-7102
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in GA, PA, NJ, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050920001069 | GA | Practitioner - Psychiatry |
4587698451 | Reassigns benefits to 1 organization |
| I20170321002481 | PA | Practitioner - Psychiatry | 4587698451 | Reassigns benefits to 3 organizations |
| I20181011000622 | NJ | Practitioner - Psychiatry | 4587698451 | Reassigns benefits to 1 organization |
| I20200122003296 | MD | Practitioner - Neurology |
4587698451 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4566830 | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Hampton Inc | Family Medicine | Current |
Accepting new patients |
| Eastern Pennsylvania Physician Alliance LLC | Neurology | Current |
Accepting new patients |
| Uhs of Hampton, Inc | Current | Accepting new patients | |
| Greater Philadelphia Health Action Inc. | Current |
Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Current |
Accepting new patients | |
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action, Inc. | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Family Medicine | Current |
Accepting new patients |
| Wellspan Medical Group | Current |
Accepting new patients | |
| View Point Health | Current |
Accepting new patients | |
| Hope Medical Group Inc | Family Medicine | Past | Accepting new patients |
| Vitale Medical Inc | Family Medicine | Past | Accepting new patients |
| Hope Medical, LLC | Family Medicine | Past | Accepting new patients |
| Advanced Health & Rehab Center Inc | Family Medicine | Past |
Accepting new patients |
| Morehouse Healthcare, Inc. | Past |
Accepting new patients | |
| Caringworks, Inc | Past |
Accepting new patients |
Locations
175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000
6375 Chambersburg Rd
Fayetteville, PA 17222
Phone (717) 352-2721
283 S Butler Rd
Lebanon, PA 17042
4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302
4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600
432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000
5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700
1101 Edgar St
York, PA 17403
Phone (717) 812-4602
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/caringworksinc/r4/
- elisabeth.barclay.1@27693.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 056406 | GA | |
| Neurology Physician | 2084N0400X | MD4566830 | PA | |
| Neurology Physician | 2084N0400X | 056406 | GA | Yes |
Addresses
Primary practice location
200 Wisteria Dr
Gainesville, GA 30501-3827
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8440
Other practice location 1
5501 Woodland Ave
Philadelphia, PA 19143-5607
Phone (215) 724-4700
Other practice location 2
5501 Woodland Ave
Philadelphia, PA 19143-5607
Phone (215) 724-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114802799A | Medicaid | GA |
Other providers in Gainesville, GA
- Salankara Bandyopadhyay
- Laura J Banner
- Renee Baptiste
- Lauren Markowski Baquet
- Mariya Barbarovich
- Joseph E. Barclay
- Robert Brett Barger
- James Barksdale
- Jessica Rae Barnard
- Kaycie Barnes
All providers in Gainesville, GA · Neurology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.