Individual provider Active NPI

Tracy Watson Barr, MD

  • Pediatrics Physician
  • Sandy Springs, GA
National Provider Identifier
1770654196
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
058030 Issued in GA
Practice address
1150 Lake Hearn Dr Ste 500
Sandy Springs, GA 30342-1570
Phone
(470) 993-6287
Fax
(470) 961-7300
NPI assigned
Nov 10, 2006
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 58030 GA
Pediatrics Physician 208000000X 058030 GA Primary

Addresses

Primary practice location

1150 Lake Hearn Dr Ste 500
Sandy Springs, GA 30342-1570

Mailing address

2172 Whitekirk St NW
Kennesaw, GA 30152-8277
Phone (404) 374-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150220000887 GA Practitioner - Pediatric Medicine 3779808498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
058030GAMDPediatrics Physician
58030GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Nov 5, 2014 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 5, 2014 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Focus Pediatrics, LLC Pediatrics PastSince Jun 30, 2024 Accepting new patients
Pediatric Infectious Disease Associates Past Accepting new patients

Locations

1180 Barrett Pkwy
#102
Kennesaw, GA 30144

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1770654196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 WHITEKIRK ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528277",
            "telephone_number": "404-374-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 LAKE HEARN DR STE 500",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421570",
            "telephone_number": "470-993-6287",
            "fax_number": "470-961-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "TRACY",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "58030",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "058030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.