Individual provider Active NPI

Abdul Bari, M.D.

  • Internal Medicine Physician
  • Cairo, GA
National Provider Identifier
1659324994
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043866 Issued in GA
Practice address
618 5TH Ave NE
Cairo, GA 39828-2228
Phone
(229) 377-7090
Fax
(229) 377-6936
NPI assigned
May 18, 2006
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 043866 GA Primary

Addresses

Primary practice location

618 5TH Ave NE
Cairo, GA 39828-2228

Mailing address

618 5TH Ave NE
Cairo, GA 39828-2228
Phone (229) 377-7090

Other identifiers 1

IdentifierTypeStateIssuer
000769271GMedicaidGA

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
I20040921001196 GA Practitioner - Internal Medicine 2567430150 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

618 5TH Ave NE
Cairo, GA 39828-2228
Phone (229) 377-7090

618 5TH Ave Northeast
Cairo, GA 39828-2228

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grady General Hospital CurrentSince Jun 1, 2000 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Nov 28, 2010 Accepting new patients
Georgia Pines Community Service Board CurrentSince Nov 18, 2017 Accepting new patients
Abdul Bari M.D ,Inc Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

618 5th Ave NE
Cairo, GA 39828
Phone (229) 377-7090

1102 Smith Ave
Ste H
Thomasville, GA 31792
Phone (229) 225-5208

1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468

400 S Pinetree Blvd
Thomasville, GA 31792
Phone (229) 227-2990

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • Direct secure messaging: abarimd@c1c2bdfc.micromddirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1659324994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 5TH AVE NE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282228",
            "telephone_number": "229-377-7090",
            "fax_number": "229-377-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 5TH AVE NE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282228",
            "telephone_number": "229-377-7090",
            "fax_number": "229-377-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARI",
        "first_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000769271G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.