Organization Active NPI

Julie Barnes Complete Family Healthcare

  • General Practice Physician
  • Shelbyville, TN
National Provider Identifier
1679017057
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JULIE BARNES COMPLETE FAMILY HEALTHCARE
Practice address
1021 Colloredo Blvd
Shelbyville, TN 37160-2782
Phone
(931) 735-6633
Fax
(931) 735-6644
NPI assigned
Dec 5, 2016
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Julie Barnes
Title
Owner
Phone
(931) 735-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X TN Primary

Addresses

Primary practice location

1021 Colloredo Blvd
Shelbyville, TN 37160-2782

Mailing address

1021 Colloredo Blvd
Shelbyville, TN 37160-2782
Phone (931) 735-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161208001468 TN Part B Supplier - Clinic/Group Practice 8022398098 Receives reassigned benefits from 1 practitioner
Practice locations: Shelbyville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2122189Complete Family Healthcare1021 Colloredo Blvd, Shelbyville, TN 37160Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory

Locations

1021 Colloredo Blvd
Shelbyville, TN 37160
Phone (931) 735-6633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1679017057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 COLLOREDO BLVD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602782",
            "telephone_number": "931-735-6633",
            "fax_number": "931-735-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 COLLOREDO BLVD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602782",
            "telephone_number": "931-735-6633",
            "fax_number": "931-735-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE BARNES COMPLETE FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-735-6633"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.