Active NPI
Golden Barnett III, M.D.
- Psychiatry Physician
- Villa Rica, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 055090
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 055090 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC-Behavioral Health of West Georgia | Current | Accepting new patients | |
| TMC/Villa Rica Hospital, Inc | Past | Accepting new patients | |
| West Cobb Medical Associates, LLC | Past | 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
- 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.
-
- Geriatric Psychiatry Physician
- Villa Rica, GA
- NPI 1356795462
GA
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
-
- Internal Medicine Physician
- Lithia Springs, GA
- NPI 1740454099
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.