Timothy Andrew Barker, M.D.
Individual provider Active NPI Family Medicine Physician · Mooresville, NC
NPI 1477545358 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1477545358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 200100506 (NC)
- Practice address
- 357 Williamson Rd
Mooresville, NC 28117-5935 - Phone
- (704) 664-7328
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Healthcare PA
Practice addresses (Care Compare)
208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 878-2011
Hospital & facility affiliations
- Duke Health Lake Norman Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091217000686 | NC | Practitioner - Family Practice | 9133269475 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare, P.a. | Family Medicine | Current |
Accepting new patients |
| Piedmont Healthcare, PA | Current |
Accepting new patients |
Locations
357 Williamson Rd
Mooresville, NC 28117
Phone (704) 664-7328
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277
Interoperability endpoints
- timothybarker@phc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200100506 | NC | Yes |
Addresses
Primary practice location
357 Williamson Rd
Mooresville, NC 28117-5935
Mailing address
650 Signal Hill Drive Ext
PO Box 1845
Statesville, NC 28625-4353
Phone (704) 873-4277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89129G8 | Medicaid | NC |
Other providers in Mooresville, NC
- Banyan Mooresville LLC
- Melissa Baralt
- Barium Springs Home for Children
- Barium Springs Home for Children
- Barium Springs Home for Children
- Debra Misiak Barlaan
- Carsyn Jean Barnes
- Jason Barnes
- Jason Alan Barnett
- Kimberly Falon Barney
All providers in Mooresville, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.