NPIMap

Individual provider Active NPI

Ian Harold Barker

  • Podiatrist
  • Greenville, SC
National Provider Identifier
1629413604
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
684 Issued in SC
Practice address
11402 Anderson Rd
Greenville, SC 29611-7557
Phone
(864) 361-2799
Fax
(864) 522-1215
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001312 GA
Podiatrist 213E00000X 684 SC Primary

Addresses

Primary practice location

11402 Anderson Rd
Greenville, SC 29611-7557

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

1515 Laney Walker Blvd
Augusta, GA 30904-5827
Phone (706) 724-7000

Other identifiers 1

IdentifierTypeStateIssuer
PD6840MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306000606 SC Practitioner - Podiatry 1052604279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

11402 Anderson Rd
Suite a
Greenville, SC 29611-7560
Phone (864) 631-2799

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions18
Removal of nail tissue754
Removal or shaving of skin growth218
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360Care LLC Podiatrist CurrentSince Feb 3, 2020 Accepting new patients
360Care LLC CurrentSince Feb 3, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 9, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 9, 2023 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Keyoka S Smith DPM LLC Past Accepting new patients

Locations

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

3 Linwa Blvd
Anderson, SC 29621
Phone (864) 260-9910

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

11402 Anderson Rd
Powdersville, SC 29611
Phone (864) 631-2799

Interoperability endpoints

  • Direct secure messaging: ibarker629049@direct.ghs.myhfn.org

Organizations & group practices 6

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 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1629413604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 ANDERSON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117557",
            "telephone_number": "864-361-2799",
            "fax_number": "864-522-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Laney Walker Blvd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309045827",
            "country_code": "US",
            "telephone_number": "706-724-7000",
            "fax_number": "706-724-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "IAN",
        "middle_name": "HAROLD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001312",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD6840",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.