Provider Demographics
NPI:1073514063
Name:MCCASLAND, BARRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:MCCASLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5669 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:STE 275
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1786
Mailing Address - Country:US
Mailing Address - Phone:404-531-0334
Mailing Address - Fax:404-531-0494
Practice Address - Street 1:5669 PEACHTREE DUNWOODY RD
Practice Address - Street 2:STE 275
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1786
Practice Address - Country:US
Practice Address - Phone:404-531-0334
Practice Address - Fax:404-531-0494
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2016-10-19
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
GA041462174400000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG85436Medicare UPIN
GA13BDCZRMedicare ID - Type Unspecified