Provider Demographics
NPI:1457317224
Name:PRICE BARNES, SHIRLEY (MD)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:PRICE BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N HUMPHREYS BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2177
Mailing Address - Country:US
Mailing Address - Phone:901-226-4003
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:1995 HIGHWAY 51 S STE 204
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-3655
Practice Address - Country:US
Practice Address - Phone:901-475-5305
Practice Address - Fax:901-475-5307
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-2722207Q00000X
TN49146207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR142887001Medicaid
AR1888800000OtherQUAL CHOICE
AR0100495OtherUNITED HEALTH CARE
TN49146OtherMEDICAL LICENSE
AR5L684OtherMEDICARE
TN1530140Medicaid
ARH30752OtherUPIN
ARH30752OtherUPIN