Jeffrey Barker, CRNP | NPI 1710423009

Key facts

NPI: 1710423009
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 1-142661 (AL)
Practice address: 630 Zeigler Cir E
Mobile, AL 36608-4828
Phone: (251) 776-1930
NPI assigned: Jan 11, 2017
Sex: Male
Sole proprietor: No

Organizations & group practices 2

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.

Altapointe Health Systems, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Mobile, AL · NPI 1518095413

Medicare reassignment NPD AL
Altapointe Health Systems, Inc. Federally Qualified Health Center (FQHC) · Foley, AL · NPI 1003707332

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20170329001529	AL	Practitioner - Nurse Practitioner	3971888272	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Altapointe Health Systems, Inc.		Current since Jan 11, 2017	Accepting new patients
Altapointe Health Systems, Inc.		Current since Jan 11, 2017	Accepting new patients

Locations

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

630 Zeigler Cir E
Mobile, AL 36608
Phone (251) 450-4335

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

7280 Sellers Ln
Mobile, AL 36608
Phone (251) 277-9064

5750 Southland Dr
#A
Mobile, AL 36693
Phone (251) 662-7290

Interoperability endpoints

Direct secure messaging: jeffery.barker.p1@direct.accordiahealth.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	1-142661	AL	Yes

Addresses

Primary practice location

630 Zeigler Cir E
Mobile, AL 36608-4828

Mailing address

5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-2211

Other providers in Mobile, AL

All providers in Mobile, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.