NPIMap

Individual provider Active NPI

Alison Drake-Barrack, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
National Provider Identifier
1457354185
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
038736 Issued in GA
Practice address
1230 Johnson Ferry PL
Suite H 15
Marietta, GA 30068-2048
Phone
(678) 738-7601
Fax
(678) 738-7605
NPI assigned
May 27, 2005
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 038736 GA Primary

Addresses

Primary practice location

1230 Johnson Ferry PL
Suite H 15
Marietta, GA 30068-2048

Mailing address

1230 Johnson Ferry PL
Suite H 15
Marietta, GA 30068-2048
Phone (678) 738-7601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000817 GA Practitioner - Physical Medicine and Rehabilitation 5597714311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1230 Johnson Ferry PL
Suite H15
Marietta, GA 30068-2045
Phone (678) 738-7601

655 Molly LN
Suite 100
Woodstock, GA 30189-6519
Phone (770) 517-1080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038736GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrack Spine and Joint Medicine, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 15, 2009 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Past Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC PastSince Nov 17, 2019 Accepting new patients

Locations

1230 Johnson Ferry Pl
Ste H15
Marietta, GA 30068
Phone (678) 738-7601

1230 Johnson Ferry Pl
Ste H1520
Marietta, GA 30068
Phone (678) 738-7601

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1457354185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "address_2": "SUITE H 15",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682048",
            "telephone_number": "678-738-7601",
            "fax_number": "678-738-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "address_2": "SUITE H 15",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682048",
            "telephone_number": "678-738-7601",
            "fax_number": "678-738-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE-BARRACK",
        "first_name": "ALISON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "038736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.