Active NPI
Frederick James Barry, MD
- Cardiovascular Disease Physician
- Athens, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35-030947B
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q065403 | Medicaid | TN | |
| 2296359 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9813 | TN | MD | Social Worker |
| 35-030947B | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Cardiovascular Disease | Current | 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
- 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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Cardiovascular Disease
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.