Active NPI
Matt Powell Barkley, CRNA
- Certified Registered Nurse Anesthetist
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 17469
- Practice address
- 130 W Ravine Rd
Kingsport, TN 37660-3837 - Phone
- (423) 224-4910
- Fax
- (423) 224-4746
- NPI assigned
- Jul 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 17469 | TN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 3004658 | KY |
Addresses
Primary practice location
130 W Ravine Rd
Kingsport, TN 37660-3837
Mailing address
105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051552993 | Other | AL | BLUECROSS |
| 051552993 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041227000417 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8224096094 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physynergy LLC
Practice addresses (Care Compare)
1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000
Hospital & facility affiliations
- Crestwood Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Epix Anesthesia of Alabama LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Alabama-TCS Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Professional Anesthesia Consultants, LLP | Past | Accepting new patients | |
| Mid-Louisiana Anesthesia Consultants, Apmc | Past | Accepting new patients | |
| Dekalb Anesthesia Associates, LLC | Past | Accepting new patients | |
| Millennium Anesthesia Services | Past | Accepting new patients | |
| Community Hospital of Andalusia LLC | Past | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1134465560
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1750989877
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1629427059
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shelbyville, TN
- NPI 1124455969
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1093173502
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
-
- Anesthesiology Physician
- Fort Payne, AL
- NPI 1376625863
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
-
- Anesthesiology Physician
- Jacksonville, AL
- NPI 1447332937
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1720071525
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1730104282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "SUITE 6A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603365",
"telephone_number": "423-408-7220",
"fax_number": "423-408-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W RAVINE RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603837",
"telephone_number": "423-224-4910",
"fax_number": "423-224-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKLEY",
"first_name": "MATT",
"middle_name": "POWELL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "17469",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3004658",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "051552993",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051552993",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.