Freddie Thomas Barron, M.D..
Individual provider Active NPI Plastic Surgery Physician · Powell, TN
NPI 1982655841 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1982655841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- MD0000009880 (TN)
- Practice address
- 7730 Dannaher Dr
Powell, TN 37849-4039 - Phone
- (865) 524-7107
- Fax
- (865) 524-3709
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20050426000404 | TN | Practitioner - Plastic and Reconstructive Surgery | 1759320138 | Practice locations: Powell, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000009880 | TN | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD0000009880 | TN | Yes |
Addresses
Primary practice location
7730 Dannaher Dr
Powell, TN 37849-4039
Mailing address
7730 Dannaher Dr
Powell, TN 37849-4039
Phone (865) 524-7107
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001399 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3005824 | Medicaid | TN |
Other providers in Powell, TN
- Sandra Lee Barboza
- Barfish Emergency Physicians LLC
- Donna Shea Barnett
- Laurel Barnett
- Micah Joel Barnwell
- Laura J. Barron
- Ronald P Barton
- Sydney Alexandra Basler
- Samantha K Bauer
- Andrew R. Bejarano
All providers in Powell, TN · Plastic Surgery 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 Feb 22, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.