Individual provider Active NPI

Frederick James Barry, MD

  • Cardiovascular Disease Physician
  • Athens, TN
National Provider Identifier
1770549271
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-030947B Issued in OH
Practice address
1031 W Madison Ave
Athens, TN 37303-3498
Phone
(865) 373-7100
Fax
(865) 373-7101
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35-030947B OH Primary

Addresses

Primary practice location

1031 W Madison Ave
Athens, TN 37303-3498

Mailing address

1031 W Madison Ave
Athens, TN 37303-3498
Phone (865) 373-7100

Other identifiers 2

IdentifierTypeStateIssuer
Q065403MedicaidTN
2296359MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barry.frederick@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000324 TN Practitioner - Cardiovascular Disease (Cardiology) 3476627373 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9813TNMDSocial Worker
35-030947BOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Jun 1, 2021 Accepting new patients
Covenant Medical Group, Inc. Cardiovascular Disease CurrentSince Jun 1, 2021 Accepting new patients
Methodist Medical Center Past Accepting new patients

Locations

1031 W Madison Ave
Athens, TN 37303
Phone (423) 745-6575

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

80 Vermont Ave
Oak Ridge, TN 37830
Phone (423) 482-4078

Interoperability endpoints

  • Direct secure messaging: barry.frederick@covenanthealth.cernerdirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1770549271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033498",
            "telephone_number": "865-373-7100",
            "fax_number": "865-373-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033498",
            "telephone_number": "865-373-7100",
            "fax_number": "865-373-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "FREDERICK",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-030947B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q065403",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2296359",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barry.frederick@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1031 W Madison Ave",
            "city": "Athens",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373033498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.