Look up the most recent NPI and PECOS records

Charly Barker

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2195 Jenks Ave, Panama City, FL 32405-4682

PECOS Enrollment

Based on the most recent information from CMS, provider Charly Barker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1639740665
Provider Type
Individual
Full Name
Barker, Charly
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/9/2021
Last Updated
2/3/2022

Contact Information

Practice Location

2195 Jenks Ave, Panama City, FL 32405-4682

(850) 784-6696

Unlisted Fax

Mailing Location

2195 Jenks Ave Ste B, Panama City, FL 32405-4683

(850) 784-6696

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11012996 Florida

Charly Barker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Pauley, Kala

White, Brittney Marie

Lydick, Kim

Gibbens, Brittany

Four Pillars Healthcare Pllc

Nichol, Brittany Danielle

Spikes, Rachel Denise

Boutwell, Jason Glenn

Heilig, Callie

Dickerson, Emmanuell