Active NPI
Garin Daniel Barth, MD
- Dermatology Physician
- Lagrange, GA
National Provider Identifier
1770518045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 30949
- Practice address
- 1605 Whitesville St
Lagrange, GA 30240-5903 - Phone
- (706) 882-5119
- Fax
- (706) 882-0270
- NPI assigned
- Jul 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 30949 | GA | Primary |
Addresses
Primary practice location
1605 Whitesville St
Lagrange, GA 30240-5903
Mailing address
1605 Whitesville St
Lagrange, GA 30240-5903
Phone (706) 882-5119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00391333E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists of Georgia, LLC | Dermatology | Current | Accepting new patients |
Locations
2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619
4360 Chamblee Dunwoody Rd
Ste 260
Atlanta, GA 30341
Phone (770) 452-5667
1605 Whitesville St
Lagrange, GA 30240
Phone (706) 548-3019
Interoperability endpoints
- garin.barth@gcd.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Dermatology Physician
- Athens, GA
- NPI 1437298957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1770518045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 WHITESVILLE ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405903",
"telephone_number": "706-882-5119",
"fax_number": "706-882-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 WHITESVILLE ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405903",
"telephone_number": "706-882-5119",
"fax_number": "706-882-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "GARIN",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "30949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00391333E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.