JASON BARHAM (FNP) – Family Nurse Practitioner, NPI 1023472156

JASON BARHAM (FNP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN209107 (GA). The NPI Number for JASON BARHAM (FNP) is 1023472156

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JASON BARHAM (FNP)
NPI
1023472156
Phone
(706) 836-8526
Address
2111 CAVANAUGH AVE SE
Enumeration Date
5 April 2016
Last Update Date
5 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703821530
Graduation Year
2015 (11 years ago)
PAC ID
7911296710
Group Practice PAC ID
2567847684
Professional Enrollment ID
I20160518000980
Address ID
GA301202129CA960XXSEXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for JASON BARHAM (FNP)

  • 2111, Cavanaugh Avenue Southeast, Eastland Heights, Atlanta, DeKalb County, Georgia, 30316, United States

    ATLANTA, GA 303162705

    Phone: (706) 836-8526

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Medtronic, Inc. ($145).

Total Amount

$145

General + Research + Ownership

Payments

1

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$145
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160518000980INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making6054$0
99285Emergency department visit with high level of medical decision making1717$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 30316)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567847684View full group profile
NameSpecialtyState
Physician AssistantGA
Emergency MedicineFL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineTN
Emergency MedicineGA
Emergency MedicineGA

Reviews

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Frequently asked questions

Where can patients find JASON BARHAM (FNP)'s NPI?
You can confirm JASON BARHAM (FNP) with NPI 1023472156; it appears in the national provider directory.
Is JASON BARHAM (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JASON BARHAM (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JASON BARHAM (FNP). Clinical services aligned with this taxonomy classification.
What location shows for JASON BARHAM (FNP)?
We surface Atlanta, Georgia for JASON BARHAM (FNP) based on available NPPES addresses.
Is JASON BARHAM (FNP) a real provider?
This page reflects official NPPES data for NPI 1023472156. Always confirm identity and privileges with the practice and licensing boards.

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