Individual provider Active NPI

Tracy Kidd Barlow, FNP

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1548548514
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
245706 Issued in NC
Practice address
105 Kilmayne Dr Ste a
Cary, NC 27511-4433
Phone
(919) 467-2253
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 245706 NC Primary

Addresses

Primary practice location

105 Kilmayne Dr Ste a
Cary, NC 27511-4433

Mailing address

105 Kilmayne Dr Ste a
Cary, NC 27511-4433
Phone (919) 467-2253

Other practice location 1

4414 Lake Boone Trl Ste 402
Raleigh, NC 27607-7520
Phone (919) 784-7460

Other practice location 2

2605 Blue Ridge Rd Ste 190
Raleigh, NC 27607-6475
Phone (919) 784-7460

Other names 1

  • Tracy Evette Kidd Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbarlow322239@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314002055 NC Practitioner - Nurse Practitioner 6406152644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2605 Blue Ridge Rd
Suite 190
Raleigh, NC 27607-6475
Phone (919) 784-7460

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010
  • Johnston Health Hospital, Smithfield, NC, CCN 340090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

2605 Blue Ridge Rd
Ste 190
Raleigh, NC 27607
Phone (919) 571-3661

4414 Lake Boone Trl
Ste 402
Raleigh, NC 27607
Phone (919) 567-6133

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: tbarlow322239@direct.unc.nchie.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1548548514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KILMAYNE DR STE A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114433",
            "telephone_number": "919-467-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KILMAYNE DR STE A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114433",
            "telephone_number": "919-467-2253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4414 Lake Boone Trl Ste 402",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077520",
            "country_code": "US",
            "telephone_number": "919-784-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2605 Blue Ridge Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076475",
            "country_code": "US",
            "telephone_number": "919-784-7460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "TRACY",
        "middle_name": "KIDD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "245706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbarlow322239@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2605 Blue Ridge Rd Ste 190",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "KIDD",
            "middle_name": "EVETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.