Organization Active NPI

Wade L Barnes & Jennifer R Burgess

  • Oxygen Equipment & Supplies (DME)
  • Canton, GA
National Provider Identifier
1801873849
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
WADE L BARNES & JENNIFER R BURGESS
Practice address
534 Keith Dr
Suite B
Canton, GA 30114-6211
Phone
(770) 345-4429
Fax
(770) 345-4087
NPI assigned
Dec 30, 2005
Last updated
Sep 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Mr. Wade Lawrence Barnes
Title
Partner
Phone
(770) 345-4429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

534 Keith Dr
Suite B
Canton, GA 30114-6211

Mailing address

534 Keith Dr
Suite B
Canton, GA 30114-6211
Phone (770) 345-4429

Other identifiers 1

IdentifierTypeStateIssuer
00894176AMedicaidGA

Other names 1

  • B & G Medical Equipment Other name

National Provider Directory

National Provider Directory

Locations

534 Keith Dr
#B
Canton, GA 30114
Phone (770) 345-4429

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1801873849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 KEITH DR",
            "address_2": "SUITE B",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146211",
            "telephone_number": "770-345-4429",
            "fax_number": "770-345-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 KEITH DR",
            "address_2": "SUITE B",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146211",
            "telephone_number": "770-345-4429",
            "fax_number": "770-345-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE L BARNES & JENNIFER R BURGESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-345-4429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00894176A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B & G Medical Equipment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.