Provider Demographics
NPI:1932173465
Name:BARNES, GEORGE ELLIOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ELLIOTT
Last Name:BARNES
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 1:180 GREENBRIAR BLVD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7233
Mailing Address - Country:US
Mailing Address - Phone:985-893-5958
Mailing Address - Fax:985-893-5902
Practice Address - Street 1:180 GREENBRIAR BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7233
Practice Address - Country:US
Practice Address - Phone:985-893-5958
Practice Address - Fax:985-893-5902
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA009804208600000X, 2086S0129X, 208G00000X
LAMD009804202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA6620OtherLA DHH CONTROLED SUBSTANC
LA1136913Medicaid
LA009804OtherMEDICAL LICENSE
LA009804OtherMEDICAL LICENSE
LA6620OtherLA DHH CONTROLED SUBSTANC
LA50400Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #