Barry A Cortis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2333 Issued in TN

Practice address

10054 Old Tullahoma Rd
Tullahoma, TN 37388-6122

Phone

(931) 967-8641

Fax

(931) 455-0892

NPI assigned

Jun 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Amg-Southern Tennessee LLC

  • General Practice Physician
  • Winchester, TN
  • NPI 1164789467
  Medicare reassignment NPD
• Amg - Southern Tennessee, LLC

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1316480213
  NPD
• Amg-Southern Tennessee LLC

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1588825699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10054 OLD TULLAHOMA RD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373886122",
            "telephone_number": "931-967-8641",
            "fax_number": "931-455-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10054 OLD TULLAHOMA RD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373886122",
            "telephone_number": "931-967-8641",
            "fax_number": "931-455-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTIS",
        "first_name": "BARRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527290",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Pharmacy LLC
• Casen Hipp Connor
• Crystal Marie Cooke, RN
• Bridget Coppinger
• Cornerstone Caregiving East LLC
• Julie Jones Cottrell, RD, LD, MS, CDE
• Marcia K Cowan, NP
• Richard H Cowan, M.D.
• John Dennie Crabtree Jr.
• Allen R Craig, MD

• Family Medicine Physician in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.