Jerry Owen Barrett, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD011762 Issued in TN

Practice address

26303 Savings Center Dr
Ardmore, TN 38449-3273

Phone

(931) 427-3565

Fax

(931) 427-8111

NPI assigned

Aug 30, 2005

Last updated

May 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

General Practice

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1407849037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384490235",
            "telephone_number": "931-427-3565",
            "fax_number": "931-427-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26303 SAVINGS CENTER DR",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493273",
            "telephone_number": "931-427-3565",
            "fax_number": "931-427-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "JERRY",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD011762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000055623",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000810174",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3170577",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amg-Hillside LLC (Southern Tennessee Primary Care Ardmore)
• Amg-Hillside LLC (Ardmore Complete Care)
• Ardmore Healthcare, LLC (Ardmore Health and Rehabilitation Center)
• Barrett Dental
• Bender Chiropractic and Decompression LLC
• Donna Hamby Bishop
• Karen Dale Brock, CPM TN
• Jennifer Sharp Bryan
• Diego Alejandro Cacho-Tovar, FNP-C

• General Practice Physician in Ardmore, TN
• Providers in Ardmore, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.