Individual provider Active NPI

Victoria Barnes, M.D.

  • Child & Adolescent Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1346269172
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
054790 Issued in GA
Practice address
542 Moreland Ave SE
Atlanta, GA 30316-1927
Phone
(404) 622-0506
NPI assigned
Jul 19, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 054790 GA
Child & Adolescent Psychiatry Physician 2084P0804X 054790 GA Primary

Addresses

Primary practice location

542 Moreland Ave SE
Atlanta, GA 30316-1927

Mailing address

542 Moreland Ave SE
Atlanta, GA 30316-1927
Phone (404) 622-0506

Other practice location 1

5 Mall Anx
Savannah, GA 31406-4738
Phone (912) 495-8887

Other identifiers 1

IdentifierTypeStateIssuer
634991912BMedicaidGA

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
I20040819000491 GA Practitioner - Psychiatry 0143293878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 Mall Anx
Savannah, GA 31406-4738
Phone (912) 495-6706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054790GAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcura Health, Inc. CurrentSince Nov 30, 2021 Accepting new patients
Medcura Health, Inc. CurrentSince Nov 30, 2021 Accepting new patients
J C Lewis Primary Health Care Center CurrentSince Apr 3, 2023 Accepting new patients
J.C. Lewis Primary Healthcare Center, Inc CurrentSince Apr 3, 2023 Accepting new patients
Fulton County Mental Health Center Past Accepting new patients
Fulton County Mhddad Past Accepting new patients
Uhs of Laurel Heights, LP Past Accepting new patients

Locations

5 Mall Anx
Savannah, GA 31406
Phone (912) 495-8887

2414 Bull St
Savannah, GA 31401
Phone (912) 495-8887

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 513-9965

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

Interoperability endpoints

  • Direct secure messaging: victoria.barnes.1@9679.direct.athenahealth.com
  • Direct secure messaging: victoria.barnes.1@23600.direct.athenahealth.com

Organizations & group practices 8

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346269172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 MORELAND AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161927",
            "telephone_number": "404-622-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 MORELAND AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161927",
            "telephone_number": "404-622-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Mall Anx",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064738",
            "country_code": "US",
            "telephone_number": "912-495-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "054790",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "054790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "634991912B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.