Individual provider Active NPI

Larry Wayne Barnes, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Fayetteville, TN
National Provider Identifier
1932295342
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
16030 Issued in 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
Last updated
Aug 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 16030 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000558 TN Practitioner - Family PracticePractitioner - Geriatric Medicine 4486731106 Reassigns benefits to 2 organizations
Practice locations: Fayetteville, TN

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norris Creek Family Practice Inc CurrentSince Sep 1, 2026 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Sep 1, 2021 Accepting new patients
Highland Rim Medical Center Geriatric Medicine PastSince Jul 12, 1991 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

2330 Thornton Taylor Pkwy
Ste A
Fayetteville, TN 37334
Phone (931) 433-9900

Interoperability endpoints

  • Direct secure messaging: lbarnes@norriscreek.amazing-direct.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1932295342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 THORNTON TAYLOR PKWY",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343672",
            "telephone_number": "931-433-9900",
            "fax_number": "931-433-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 THORNTON TAYLOR PKWY",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343672",
            "telephone_number": "931-433-9900",
            "fax_number": "931-433-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "16030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

Verify at the official NPI Registry.