Individual provider Active NPI

Matthew D Barry, APN

  • Acute Care Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1750894978
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
23348 Issued in TN
Practice address
1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone
(423) 756-6623
NPI assigned
Nov 9, 2017
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 23348 TN Primary

Addresses

Primary practice location

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127

Mailing address

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127

Other practice location 1

2525 DeSales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-8577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180806001932 TN Practitioner - Nurse Practitioner 1355699414 Reassigns benefits to 2 organizations
I20210324000450 GA Practitioner - Nurse Practitioner 1355699414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Diagnostic Associates LLCGroup PAC ID 9739272519, 27 clinicians

Practice addresses (Care Compare)

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone (423) 756-6623

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23348TXMDClinical Psychologist
23348TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Emergency Medicine PLLC CurrentSince Feb 19, 2018 Accepting new patients
Chattanooga Diagnostic Associates LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1736 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 756-6623

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

725 Glenwood Dr
Ste E487
Chattanooga, TN 37404
Phone (423) 697-0014

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

Interoperability endpoints

  • Direct secure messaging: matthew.barry@hca1.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1750894978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213127",
            "telephone_number": "423-756-6623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 DeSales Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041161",
            "country_code": "US",
            "telephone_number": "423-495-8577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "23348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.