Individual provider Active NPI

Kenneth Barngrover, D O

  • Interventional Pain Medicine Physician
  • Columbus, GA
National Provider Identifier
1588787162
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
027027 Issued in GA
Practice address
5669 Whitesville Rd
Columbus, GA 31904-9054
Phone
(706) 571-7246
Fax
(706) 571-8820
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 027027 GA
Interventional Pain Medicine Physician 208VP0014X 027027 GA Primary

Addresses

Primary practice location

5669 Whitesville Rd
Columbus, GA 31904-9054

Mailing address

5669 Whitesville Rd
Columbus, GA 31904-9054
Phone (706) 571-7246

Other identifiers 1

IdentifierTypeStateIssuer
000296777EMedicaidGA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100804000247 GA Practitioner - Pain ManagementPractitioner - Anesthesiology 6709893894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Regional Pain Ctr PCGroup PAC ID 0446244453, 2 clinicians

Practice addresses (Care Compare)

5669 Whitesville Rd
Columbus, GA 31904-9054
Phone (706) 571-7246

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.82
Improvement activities
40
Cost
89.2

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1588787162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 WHITESVILLE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049054",
            "telephone_number": "706-571-7246",
            "fax_number": "706-571-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 WHITESVILLE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049054",
            "telephone_number": "706-571-7246",
            "fax_number": "706-571-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNGROVER",
        "first_name": "KENNETH",
        "credential": "D O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "027027",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "027027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000296777E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.