Individual provider Active NPI

Vincent B. Barker, M.D.

  • Family Medicine Physician
  • Blakely, GA
National Provider Identifier
1821039660
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
066252 Issued in GA
Practice address
11740 Columbia St
Blakely, GA 39823-2574
Phone
(229) 724-4282
Fax
(229) 724-4283
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19004 MS
Family Medicine Physician 207Q00000X 066252 GA Primary

Addresses

Primary practice location

11740 Columbia St
Blakely, GA 39823-2574

Mailing address

500 S Chestnut St
Aberdeen, MS 39730-3337
Phone (662) 369-9525

Other identifiers 1

IdentifierTypeStateIssuer
05923011MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120123000763 GA Practitioner - Family Practice 3779516828 Reassigns benefits to 3 organizations
I20151007001317 AL Practitioner - Family Practice 3779516828 Reassigns benefits to 2 organizations
I20160910000201 FL Practitioner - Family Practice 3779516828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebrite Hospital Group of Early LLCGroup PAC ID 7810263589, shared by 6 NPIs, 9 clinicians

Practice addresses (Care Compare)

11045 Columbia St
Blakely, GA 39823-3447
Phone (229) 723-4313

11740 Columbia St
Blakely, GA 39823-2574
Phone (229) 724-4282

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Bainbridge, GA, CCN 117151
  • Georgia Hospice Care Hospice, Albany, GA, CCN 111773
  • Lifebrite Community Hospital of Early Hospital, Blakely, GA, CCN 111314
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Miller County Hospital Hospital, Colquitt, GA, CCN 111305
  • Early Memorial Nursing Facility Nursing home, Blakely, GA, CCN 115271
  • Lifebrite Community Hospital of Early Nursing home, CCN 11Z314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
066252GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebrite Hospital Group of Early LLC CurrentSince Dec 17, 2025 Accepting new patients
Lifebrite Hospital Group of Early LLC CurrentSince Dec 17, 2025 Accepting new patients
Lifebrite Hospital Group of Early LLC Current Accepting new patients
Lifebrite Hospital Group of Early LLC CurrentSince Nov 1, 2017 Accepting new patients
Southland Medical Solutions of Eufaula, PL CurrentSince Aug 1, 2015 Accepting new patients
Lifebrite Hospital Group of Early LLC CurrentSince Nov 1, 2017 Accepting new patients
Southland Medical Solutions of Ozark, PL CurrentSince Aug 2, 2015 Accepting new patients
Southland EMS at Weems PL CurrentSince Apr 1, 2016 Accepting new patients
Lifebrite Hospital Group of Early LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

11045 Columbia St
Blakely, GA 39823
Phone (228) 723-4313

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1821039660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S CHESTNUT ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303337",
            "telephone_number": "662-369-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 COLUMBIA ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398232574",
            "telephone_number": "229-724-4282",
            "fax_number": "229-724-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "VINCENT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19004",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "066252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05923011",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blakely, GA

Sources for this page

Verify at the official NPI Registry.