Larry Wayne Barnes, MD
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Fayetteville, TN
NPI 1932295342 · NPPES record last updated Aug 7, 2008
Key facts
- NPI
- 1932295342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- 16030 (TN)
- Practice address
- 2330 Thornton Taylor Pkwy
Suite a
Fayetteville, TN 37334-3672 - Phone
- (931) 433-9900
- Fax
- (931) 433-9999
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1039 PO Box
Fayetteville, TN 37334-1039
2330 Thornton Taylor Pkwy a
Fayetteville, TN 37334-3673
Phone (931) 433-9900
Hospital & facility affiliations
- Lincoln Medical Home Health and Hospice
- Quality First Home Care
- Lincoln Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101227000558 | TN | Practitioner - Family Practice |
4486731106 |
Reassigns benefits to 2 organizations Practice locations: Fayetteville, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current |
Accepting new patients | |
| NV Pacs 2 LLC | Current |
Accepting new patients | |
| Highland Rim Medical Center | Geriatric Medicine | Past |
Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669
Interoperability endpoints
- lbarnes@norriscreek.amazing-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 16030 | TN | Yes |
Addresses
Primary practice location
2330 Thornton Taylor Pkwy
Suite a
Fayetteville, TN 37334-3672
Mailing address
2330 Thornton Taylor Pkwy
Suite a
Fayetteville, TN 37334-3672
Phone (931) 433-9900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3018446 | Medicaid | TN | |
| 124919 | Other | TN | BC/BS |
| 443912 | Other | TN | MEDICARE PART A |
Other providers in Fayetteville, TN
- Samuel Michael Ashby
- June Christine Attebery
- Ashley Marie Ball
- Daniel Ross Barber
- Elaine O Barnes
- Paige Barnes
- Natalie Batchelor
- Beauty Vibes Studios
- Lana Sharon Beavers
- Walter Charles Bennett Jr.
All providers in Fayetteville, TN · Geriatric Medicine (Family Medicine) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.