Individual provider Active NPI

Garin Daniel Barth, MD

  • Dermatology Physician
  • Lagrange, GA
National Provider Identifier
1770518045
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
30949 Issued in GA
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

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00391333EMedicaidGA

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

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.