Active NPI
Devon W. Barkley Sr., ADVANCE EMT, FIREFIG
- Intermediate Emergency Medical Technician
- Austell, GA
National Provider Identifier
1861273427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- A021279
- Practice address
- 3411 Austell Rd
Austell, GA 30106 - Phone
- (404) 987-6326
- NPI assigned
- Oct 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | A021279 | GA | Primary |
Addresses
Primary practice location
3411 Austell Rd
Austell, GA 30106
Mailing address
7243 Brittany Way
Douglasville, GA 30134-4075
Phone (404) 904-4617
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Admin@cardinal-ems.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A021279 | GA | MD | Intermediate Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal EMS LLC | Current | Accepting new patients | |
| Cardinal EMS LTD | Past | Accepting new patients |
Locations
3411 Austell Rd SW
Ste 108
Marietta, GA 30008
Phone (404) 987-6326
Interoperability endpoints
- admin@cardinal-ems.com
Organizations & group practices 2
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.
-
- Land Ambulance
- Marietta, GA
- NPI 1104669191
-
- Land Ambulance
- Benton, IL
- NPI 1962659888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1861273427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7243 BRITTANY WAY",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301344075",
"telephone_number": "404-904-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "30106",
"telephone_number": "404-987-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKLEY",
"first_name": "DEVON",
"middle_name": "W.",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "ADVANCE EMT, FIREFIG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "GA",
"license": "A021279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Admin@cardinal-ems.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3411 Austell Rd",
"city": "Austell",
"state": "GA",
"country_code": "US",
"postal_code": "30106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.