Individual provider Active NPI

Dyniecia Barnes

  • Prosthetics Case Management
  • Marietta, GA
National Provider Identifier
1831600725
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CO123711 Issued in GA
Practice address
2575 White Haven Dr SW
Ste 100 / Salon 121
Marietta, GA 30064
Phone
(770) 799-6807
Fax
(866) 799-9972
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X CO123711 GA Primary

Addresses

Primary practice location

2575 White Haven Dr SW
Ste 100 / Salon 121
Marietta, GA 30064

Mailing address

5284 Floyd Rd SW Unit 1669
Mableton, GA 30126-6115
Phone (678) 615-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO123711GAMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Salon Joiere LLC Prosthetics Case Management Current Accepting new patients

Locations

5284 Floyd Rd SW
Unit 1669
Mableton, GA 30126

2575 Whitehaven Dr SW
Ste 100
Marietta, GA 30064
Phone (770) 799-6807

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1831600725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 FLOYD RD SW UNIT 1669",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266115",
            "telephone_number": "678-615-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 WHITE HAVEN DR SW",
            "address_2": "STE 100 / SALON 121",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30064",
            "telephone_number": "770-799-6807",
            "fax_number": "866-799-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "DYNIECIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO123711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.