Individual provider Active NPI

Matthew B Barksdale, NP

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1821606492
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN223477 Issued in GA
Practice address
425 W 3Rd Ave Ste 510
Albany, GA 31701-1959
Phone
(229) 312-7500
NPI assigned
Jul 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN223477 GA Primary

Addresses

Primary practice location

425 W 3Rd Ave Ste 510
Albany, GA 31701-1959

Mailing address

500 W 3Rd Ave Ste 101
Albany, GA 31701-1900
Phone (229) 312-5802

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812001978 GA Practitioner - Nurse Practitioner 3678999307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

425 W 3Rd Ave
Suite 510
Albany, GA 31701-1959
Phone (229) 312-5133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Regional Hospital, Inc CurrentSince Aug 29, 2022 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2020 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Aug 29, 2022 Accepting new patients

Locations

425 W 3rd Ave
Ste 510
Albany, GA 31701
Phone (229) 312-7500

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

Interoperability endpoints

  • Direct secure messaging: matthew.barksdale@phoebehealth.gadirect.net
  • Direct secure messaging: matthew.barksdale.1@8478.direct.athenahealth.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.

Hospital & facility affiliations 1

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1821606492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 3RD AVE STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011900",
            "telephone_number": "229-312-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 3RD AVE STE 510",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011959",
            "telephone_number": "229-312-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "MATTHEW",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.