Individual provider Active NPI

Byron T Barnes, NMTCB

  • Nuclear Medicine Technology Radiologic Technologist
  • Hiram, GA
National Provider Identifier
1376749291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
License
022347 Issued in GA
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

LicenseStateTypeSpecialty
022347GAMDNuclear Medicine Technology Radiologic Technologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Technology Radiologic Technologist 2471N0900X 022347 GA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
022347OtherGANMTCB

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.

Verify at the official NPI Registry.