Organization Active NPI

O'Barr Internal Medicine, PC

  • Internal Medicine Physician
  • Blue Ridge, GA
National Provider Identifier
1760616320
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024472 Issued in GA
Legal business name
O'BARR INTERNAL MEDICINE, PC
Practice address
2032 Shady Falls Rd
Blue Ridge, GA 30513-5578
Phone
(404) 275-6383
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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

Authorized official

Name
Dr. Thomas B O'Barr Jr., M.D.NPI 1255334033
Title
Owner
Phone
(404) 275-6383

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 024472 GA Primary

Addresses

Primary practice location

2032 Shady Falls Rd
Blue Ridge, GA 30513-5578

Mailing address

96 Craig St Ste 112
East Ellijay, GA 30540-8612
Phone (404) 275-6383

Other identifiers 2

IdentifierTypeStateIssuer
024472OtherGASTATE OF GA MEDICAL LICENSE:
1255334033OtherGATHOMAS B. O'BARR JR. MD NPI NUMBER

National Provider Directory

National Provider Directory

Locations

3522 Ashford Dunwoody Rd NE
#349
Brookhaven, GA 30319

96 Craig St
Ste 112
East Ellijay, GA 30540

1431 White Cir
Ste E
Marietta, GA 30066
Phone (678) 797-6820

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627084800000",
    "number": "1760616320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CRAIG ST STE 112",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408612",
            "telephone_number": "404-275-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 SHADY FALLS RD",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305135578",
            "telephone_number": "404-275-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BARR INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "O'BARR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-275-6383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "024472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GA MEDICAL LICENSE:",
            "identifier": "024472",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMAS B. O'BARR JR. MD NPI NUMBER",
            "identifier": "1255334033",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.