Active NPI
Sherwood Barefoot, M.D.
- Surgery Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD15114
- Practice address
- 130 W Ravine Rd
Kingsport, TN 37660-3810 - Phone
- (423) 224-4000
- NPI assigned
- Jun 11, 2006
- Last updated
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD15114 | TN | Primary |
| Trauma Surgery Physician | 2086S0127X | 010140493 | VA |
Addresses
Primary practice location
130 W Ravine Rd
Kingsport, TN 37660-3810
Mailing address
999 Executive Park Blvd
Suite 201
Kingsport, TN 37660-4632
Phone (423) 224-3250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3868508 | Medicaid | TN | |
| 007312202 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13795 | SC | MD | Pharmacist |
| MD15114 | TN | MD | Surgery Physician |
| 010140493 | VA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland Memorial Hospital Inc | Surgery | Current | Accepting new patients |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| United Emergency Services, Inc. | Past | Accepting new patients | |
| Lancaster Clinic Corp | Past | Accepting new patients |
Locations
205 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-4410
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
Organizations & group practices 4
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.
-
dba SURGICAL ASSOCIATES of SCOTLAND
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
dba Sterling Surgical Services
- Surgery Physician
- Laurinburg, NC
- NPI 1104918754
-
- Family Medicine Physician
- Kershaw, SC
- NPI 1760678841
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1831131432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 EXECUTIVE PARK BLVD",
"address_2": "SUITE 201",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604632",
"telephone_number": "423-224-3250",
"fax_number": "423-224-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W RAVINE RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603810",
"telephone_number": "423-224-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAREFOOT",
"first_name": "SHERWOOD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD15114",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "VA",
"license": "010140493",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3868508",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007312202",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.