Individual provider Active NPI

Marianne Barnes, MD

  • Psychiatry Physician
  • Tupelo, MS
National Provider Identifier
1962440230
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17474 Issued in MS
Practice address
4577 S Eason Blvd
Suite E-F
Tupelo, MS 38801-6590
Phone
(662) 377-7590
Fax
(662) 377-7595
NPI assigned
Jun 2, 2006
Last updated
Apr 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17474 MS Primary

Addresses

Primary practice location

4577 S Eason Blvd
Suite E-F
Tupelo, MS 38801-6590

Mailing address

450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685

Other identifiers 1

IdentifierTypeStateIssuer
00125356MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100324000926 MS Practitioner - Psychiatry 5193850782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4579 S Eason Blvd
Suite a
Tupelo, MS 38801-6539
Phone (662) 377-6161

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 1, 2001 Accepting new patients
North Mississippi Medical Center Inc CurrentSince Oct 1, 2001 Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients

Locations

1150 S Green St
Ste 2D
Tupelo, MS 38804
Phone (601) 815-3575

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

4577 S Eason Blvd
Ste Ef
Tupelo, MS 38801
Phone (662) 377-7590

4579 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-3161

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

4579 S Eason Blvd
Ste Ef
Tupelo, MS 38801
Phone (662) 377-7590

Interoperability endpoints

  • Direct secure messaging: mariannebarnes@nmhs.medalliesdirect.net

Organizations & group practices 5

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 1

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1962440230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 S EASON BLVD",
            "address_2": "SUITE E-F",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016590",
            "telephone_number": "662-377-7590",
            "fax_number": "662-377-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "MARIANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "17474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125356",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.