Active NPI
Byron T Barnes, NMTCB
- Nuclear Medicine Technology Radiologic Technologist
- Hiram, GA
National Provider Identifier
1376749291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- License
- 022347
- Practice address
- 5604 Wendy Bagwell Pkwy
Hiram, GA 30141-7809 - Phone
- (678) 384-1711
- Fax
- (678) 384-1721
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022347 | GA | MD | Nuclear Medicine Technology Radiologic Technologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | 022347 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5604 Wendy Bagwell Pkwy
Hiram, GA 30141-7809
Mailing address
11990 Olmstead Dr
Fayetteville, GA 30215-6687
Phone (678) 384-1711
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022347 | Other | GA | NMTCB |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376749291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 OLMSTEAD DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302156687",
"telephone_number": "678-384-1711",
"fax_number": "678-384-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 WENDY BAGWELL PKWY",
"city": "HIRAM",
"state": "GA",
"postal_code": "301417809",
"telephone_number": "678-384-1711",
"fax_number": "678-384-1721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "BYRON",
"middle_name": "T",
"credential": "NMTCB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471N0900X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "GA",
"license": "022347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NMTCB",
"identifier": "022347",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.