Healthcare Provider Details

I. General information

NPI: 1477511830
Provider Name (Legal Business Name): JASON CORY BARNETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CORY BARNETT MD

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 03/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 HAYES ST STE 205
NASHVILLE TN
37203-2699
US

IV. Provider business mailing address

300 20TH AVE N STE 403
NASHVILLE TN
37203-2131
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-4646
  • Fax: 615-284-4675
Mailing address:
  • Phone: 615-284-4646
  • Fax: 615-284-4675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number38623
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number38623
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: