Active NPI
Neil G Barry III MD Inc
- Internal Medicine Physician
- Middlesboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEIL G BARRY III MD INC
- Practice address
- 3004 W Cumberland Avenue
Medical Arts Building
Middlesboro, KY 40965 - Phone
- (606) 248-4162
- Fax
- (606) 242-3429
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neil G Barry III, MD
- Title
- Owner
- Phone
- (606) 248-4162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3004 W Cumberland Avenue
Medical Arts Building
Middlesboro, KY 40965
Mailing address
3004 W Cumberland Avenue
Medical Arts Building
Middlesboro, KY 40965
Phone (606) 248-4162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65931263 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
Rural health clinic certification: CCN 188998
- Legal name
- NEIL G BARRY III MD INC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Oct 25, 2018
- Last certification
- Oct 25, 2018
- Ownership / control type
- 1B
- Organization structure
- Corporation
- Incorporated
- Jul 22, 1998 in KY
- Enrollment address
- 3004 Cumberland Ave
Middlesboro, KY 40965-2343
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Neil G Barry | 5% Or Greater Direct Ownership Interest | Jul 22, 1998 | 100% |
| Corporate Officer | Jul 22, 1998 | 100% | |
| Corporate Director | Jul 22, 1998 | 100% | |
| W-2 Managing Employee | Jul 22, 1998 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Middlesboro, KY
- NPI 1235125972
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Middlesboro, KY
- NPI 1235125972
-
- Family Nurse Practitioner
- Middlesboro, KY
- NPI 1780122671
-
- Family Nurse Practitioner
- Middlesboro, KY
- NPI 1144278631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1710085238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 W CUMBERLAND AVENUE",
"address_2": "MEDICAL ARTS BUILDING",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "40965",
"telephone_number": "606-248-4162",
"fax_number": "606-242-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 W CUMBERLAND AVENUE",
"address_2": "MEDICAL ARTS BUILDING",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "40965",
"telephone_number": "606-248-4162",
"fax_number": "606-242-3429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIL G BARRY III MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-248-4162",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65931263",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middlesboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.