Individual provider Active NPI

Darik Shane Barger, NP

  • Family Nurse Practitioner
  • Erwin, TN
National Provider Identifier
1629011358
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7172 Issued in TN
Practice address
1112 N Main Ave
Erwin, TN 37650-1508
Phone
(423) 560-6010
Fax
(423) 560-6011
NPI assigned
Jun 13, 2006
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104880 TN
Family Nurse Practitioner 363LF0000X 7172 TN Primary

Addresses

Primary practice location

1112 N Main Ave
Erwin, TN 37650-1508

Mailing address

1112 N Main Ave
Erwin, TN 37650-1508
Phone (423) 560-6010

Other practice location 1

2204 Pavilion Dr
Suite 108
Kingsport, TN 37660-4657
Phone (423) 392-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061205000655 TN Practitioner - Nurse Practitioner 2961401716 Reassigns benefits to 3 organizations
I20260408001572 VA Practitioner - Nurse Practitioner 2961401716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1112 N Main Ave
Erwin, TN 37650-1508
Phone (931) 253-1110

1797 Fort Henry Dr
Kingsport, TN 37664-3226
Phone (423) 830-0516

1800 W Market St
Johnson City, TN 37604-6023
Phone (931) 253-1110

277 E Broadway Blvd
Jefferson City, TN 37760-2810
Phone (615) 388-1571

291 S Daisy St
Morristown, TN 37813-2362
Phone (423) 616-8315

2960 Winfield Dunn Pkwy
Kodak, TN 37764-4309
Phone (865) 213-7104

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

5554 Hwy 11 E
Piney Flats, TN 37686-4435
Phone (423) 666-0030

805 W Jackson Blvd
Jonesborough, TN 37659-5270
Phone (423) 850-8190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
104880TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 22, 2023 Accepting new patients
Endoscopy Center of Kingsport Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 22, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Inpatient Medical Services, PC Past Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1112 N Main Ave
Erwin, TN 37650
Phone (423) 560-6010

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

2204 Pavilion Dr
Ste 108
Kingsport, TN 37660
Phone (423) 392-6100

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

Organizations & group practices 7

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1629011358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501508",
            "telephone_number": "423-560-6010",
            "fax_number": "423-560-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501508",
            "telephone_number": "423-560-6010",
            "fax_number": "423-560-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Pavilion Dr",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604657",
            "country_code": "US",
            "telephone_number": "423-392-6100",
            "fax_number": "423-392-6159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARGER",
        "first_name": "DARIK",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "104880",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

Verify at the official NPI Registry.