Christopher M Barry, PA-C
Individual provider Active NPI Physician Assistant · Clayton, NC
NPI 1790722395 · NPPES record last updated Sep 26, 2013
Key facts
- NPI
- 1790722395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-00405 (NC)
- Practice address
- 555 Medical Park PL
Suite 208
Clayton, NC 27520-2174 - Phone
- (919) 359-3500
- Fax
- (919) 359-3501
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140415000162 | NC | Practitioner - Physician Assistant | 3870725492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- christopherbarry@jmp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-00405 | NC | Yes |
Addresses
Primary practice location
555 Medical Park PL
Suite 208
Clayton, NC 27520-2174
Mailing address
101 Bending Branch CT
Morrisville, NC 27560-5904
Phone (919) 624-7468
Other providers in Clayton, NC
- Kelsie Erin Birch Ball
- Samantha Baptiste
- Mary Anna Barbee
- Stephanie Barbier
- Mikayla Dennielle Huf Barfield
- Derrick Andrew Bass
- Ellen P Bauman
- Beacon Speech Associates, LLC
- Jill Konen Beavin
- Beddingfield Drugs LLC
All providers in Clayton, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.