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NPI Code Detail

MEDICARE: DR. DEREK ALAN BARKER D.P.M

MEDICARE: DR. DEREK ALAN BARKER D.P.M
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
1213ES0103XFoot & Ankle Surgery PodiatristPOD001472GA
2213ES0103XFoot & Ankle Surgery Podiatrist5901002322MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649408998
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEREK ALAN BARKER D.P.M
Provider Business Mailing Address
First Line : 501 W ONEIDA ST
Second Line :
City : WAYCROSS
State : GA
Zip : 31501-5337
Country : US
Telephone Number : 912-283-6471
Fax Number : 912-283-3590
Provider Business Practice Location Address
First Line : 481 E G MILES PKWY STE C
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-4004
Country : US
Telephone Number : 912-432-7236
Fax Number : 912-432-7243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2009
Last Update Date : 03/19/2026

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