Individual provider Active NPI

Devon W. Barkley Sr., ADVANCE EMT, FIREFIG

  • Intermediate Emergency Medical Technician
  • Austell, GA
National Provider Identifier
1861273427
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
A021279 Issued in GA
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

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
A021279GAMDIntermediate Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal EMS LLC CurrentSince Jun 1, 2024 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.