Individual provider Active NPI

Sierra Renee Barr, FNP-C

  • Family Nurse Practitioner
  • Dallas, GA
National Provider Identifier
1659864593
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN232158 Issued in GA
Practice address
495 Charles Hardy Pkwy
Dallas, GA 30157
Phone
(770) 445-2128
NPI assigned
Jun 13, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN232158 GA Primary

Addresses

Primary practice location

495 Charles Hardy Pkwy
Dallas, GA 30157

Mailing address

495 Charles Hardy Pkwy
Dallas, GA 30157-5723

Other names 1

  • Ms. Sierra Renee Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, SC, WI, NY, CT, VA, NJ8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20180816003264 GA Practitioner - Nurse Practitioner 5991054447 Reassigns benefits to 1 organization
I20220629000314 NC Practitioner - Nurse Practitioner 5991054447 Reassigns benefits to 2 organizations
I20220711001510 SC Practitioner - Nurse Practitioner 5991054447
I20220913002502 WI Practitioner - Nurse Practitioner 5991054447
I20220926000781 NY Practitioner - Nurse Practitioner 5991054447 Reassigns benefits to 1 organization
I20221004001268 CT Practitioner - Nurse Practitioner 5991054447
I20221018003460 VA Practitioner - Nurse Practitioner 5991054447
I20221028000980 NJ Practitioner - Nurse Practitioner 5991054447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

107 S Country Rd
Bellport, NY 11713-2523
Phone (866) 389-2727

2797 NC 55 Hwy
Cary, NC 27519-6206
Phone (866) 389-2727

495 Charles Hardy Pkwy
Dallas, GA 30157-5723
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10579CTMDGeneral Practice Dentistry
RN232158GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Sep 8, 2022 Accepting new patients
Minuteclinic LLC Family CurrentSince Jul 11, 2018 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 22, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Medical Group of New York, P.C. Family CurrentSince May 18, 2022 Accepting new patients
Carolinas Physicians Network, Inc CurrentSince Jul 22, 2024 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince May 15, 2022 Accepting new patients

Locations

495 Charles Hardy Pkwy
Dallas, GA 30157
Phone (770) 231-4783

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

2797 NC 55 Hwy
Cary, NC 27519
Phone (919) 362-0381

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sierra.barr.1@19957.direct.athenahealth.com
  • Direct secure messaging: sierra.barr.1@30093.direct.athenahealth.com

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1659864593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CHARLES HARDY PKWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301575723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CHARLES HARDY PKWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30157",
            "telephone_number": "770-445-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "SIERRA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN232158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIERRA",
            "last_name": "ANDERSON",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.