Individual provider Active NPI

Golden Barnett III, M.D.

  • Psychiatry Physician
  • Villa Rica, GA
National Provider Identifier
1679530430
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
055090 Issued in GA
Practice address
20 Herrell Rd
Villa Rica, GA 30180
Phone
(770) 456-3928
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 055090 GA Primary

Addresses

Primary practice location

20 Herrell Rd
Villa Rica, GA 30180

Mailing address

119 Ambulance Dr Ste 202
Carrollton, GA 30117-3857
Phone (770) 838-8710

Other practice location 1

101 Quartz Dr Ste 103
Villa Rica, GA 30180-3255
Phone (770) 812-3530

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
I20060919000144 GA Practitioner - Psychiatry 0042215485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Emory University School of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
TMC-Behavioral Health of West Georgia 37 clinicians

Practice addresses (Care Compare)

101 Quartz Dr
Suite 103B
Villa Rica, GA 30180-3201
Phone (770) 812-3580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055090GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC-Behavioral Health of West Georgia CurrentSince Jul 31, 2018 Accepting new patients
TMC/Villa Rica Hospital, Inc Past Accepting new patients
West Cobb Medical Associates, LLC PastSince May 28, 2013 Accepting new patients

Locations

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

101 Quartz Dr
Ste 103
Villa Rica, GA 30180
Phone (770) 812-8863

101 Quartz Dr
Ste 103B
Villa Rica, GA 30180
Phone (770) 812-3580

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5606/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1679530430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR STE 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173857",
            "telephone_number": "770-838-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HERRELL RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "30180",
            "telephone_number": "770-456-3928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Quartz Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301803255",
            "country_code": "US",
            "telephone_number": "770-812-3530",
            "fax_number": "770-812-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "GOLDEN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "055090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

Verify at the official NPI Registry.