MEDICARE: DR. ANTHONY EDWARD BARNES M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	041718	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5244142	OTHER	GA	AETNA
2	1916108	OTHER	GA	UNITED HEALTHCARE
3	1063410173	OTHER	GA	BLUE CROSS BLUE SHIELD
4	331185	OTHER	GA	WELLCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063410173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY EDWARD BARNES M.D

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE BLDG 9 1ST FLOOR
Second Line	:	ATTN TOBIE SHELLEY
City	:	ATLANTA
State	:	GA
Zip	:	30305-1736
Country	:	UM
Telephone Number	:	404-365-0966
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 CLEVELAND AVE SW
Second Line	:	SUITE 604
City	:	ATLANTA
State	:	GA
Zip	:	30315-7129
Country	:	US
Telephone Number	:	404-768-6611
Fax Number	:	404-768-3454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	09/16/2019

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Directions to “ DR. ANTHONY EDWARD BARNES M.D” Practice Location

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