MEDICARE: SHAWANDA ANN BARNES

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-26008	NC

General Provider Information

NPI Number	:	1316682784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWANDA ANN BARNES

Provider Business Mailing Address
First Line	:	4613 PRIMROSE PL
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-2908
Country	:	US
Telephone Number	:	919-638-1239
Fax Number	:

Provider Business Practice Location Address
First Line	:	4613 PRIMROSE PL
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-2908
Country	:	US
Telephone Number	:	919-638-1239
Fax Number	:

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

Provider Enumeration Date	:	05/01/2022
Last Update Date	:	05/01/2022

Similar Medicare Providers

1265771836 — KIM DIAZ OT
Practice Location Address:

8043 MOUNT RANIER DR
JACKSONVILLE, FL
32256-2908

Practice Phone: 904-642-6809
Practice Fax:

1083587042 — MRS. TAMIKA FAGAN CBCS, CCHT,NHA
Practice Location Address:

1225 MANOR DR
ROCKY MOUNT, NC
27804-4613

Practice Phone: 984-833-7423
Practice Fax:

1760483820 — DR. NADINE B SKINNER MD
Practice Location Address:

921 N WINSTEAD AVE
ROCKY MOUNT, NC
27804-8749

Practice Phone: 252-937-0300
Practice Fax: 252-937-3108

1275017394 — SAVANA EDWARDS ATKINS PA-C
Practice Location Address:

91 ENTERPRISE DR
ROCKY MOUNT, NC
27804-9590

Practice Phone: 252-937-0200
Practice Fax: 252-937-2903

1154199628 — EUGENE SUK KWON PA-C
Practice Location Address:

901 N WINSTEAD AVE
ROCKY MOUNT, NC
27804-8467

Practice Phone: 252-937-0231
Practice Fax: 252-937-3113

1982922217 — CHARLES MILES HARMON M.D.
Practice Location Address:

2460 CURTIS ELLIS DR
ROCKY MOUNT, NC
27804-2237

Practice Phone: 252-962-8000
Practice Fax: 252-962-8188

Directions to “ SHAWANDA ANN BARNES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.