Organization Active NPI

M&M Barkley LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Locust Grove, GA
National Provider Identifier
1427827534
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
M&M BARKLEY LLC
Doing business as
Peppertree Private Homecare
Practice address
261 Whistle Way
Locust Grove, GA 30248-2065
Phone
(404) 665-7892
NPI assigned
Dec 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Shundreka Jujuan Barkley, NPNPI 1386341410
Title
Operator
Phone
(404) 828-0454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

261 Whistle Way
Locust Grove, GA 30248-2065

Mailing address

261 Whistle Way
Locust Grove, GA 30248-2065
Phone (404) 665-7892

Other names 1

  • Peppertree Private Homecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227001901 GA Part B Supplier - Clinic/Group Practice 7517494826 Receives reassigned benefits from 1 practitioner
Practice locations: Locust Grove, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1427827534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WHISTLE WAY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482065",
            "telephone_number": "404-665-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WHISTLE WAY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482065",
            "telephone_number": "404-665-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M BARKLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "BARKLEY",
        "authorized_official_first_name": "SHUNDREKA",
        "authorized_official_middle_name": "JUJUAN",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "404-828-0454",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peppertree Private Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peppertree Private Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.