MEDICARE: DR. GEORGE ELLIOTT BARNES MD

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	208600000X	Surgery Physician	009804	LA
2	2086S0129X	Vascular Surgery Physician	009804	LA
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	009804	LA
4	202K00000X	Phlebology Physician	MD009804	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6620	OTHER	LA	LA DHH CONTROLED SUBSTANC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	009804	OTHER	LA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1932173465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE ELLIOTT BARNES MD

Provider Business Mailing Address
First Line	:	180 GREENBRIAR BLVD
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-7233
Country	:	US
Telephone Number	:	985-893-5958
Fax Number	:	985-893-5902

Provider Business Practice Location Address
First Line	:	180 GREENBRIAR BLVD
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-7233
Country	:	US
Telephone Number	:	985-893-5958
Fax Number	:	985-893-5902

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	03/07/2023

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