Individual provider Active NPI

Stephen Smyth Beebe, MD FACP

  • Pediatric Adolescent Medicine Physician
  • Gainesville, FL
National Provider Identifier
1003892910
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME81992 Issued in FL
Practice address
6440 W Newberry Rd
#402
Gainesville, FL 32605-4381
Phone
(352) 333-5500
Fax
(352) 333-5506
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X ME81992 FL Primary

Addresses

Primary practice location

6440 W Newberry Rd
#402
Gainesville, FL 32605-4381

Mailing address

6440 W Newberry Rd
#402
Gainesville, FL 32605-4381
Phone (352) 333-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220506000540 ID Practitioner - Pediatric Medicine 0840337580 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc Current Accepting new patients
Teton Valley Health Care Inc CurrentSince Apr 29, 2022 Accepting new patients
Teton Valley Health Care, Inc CurrentSince Apr 29, 2022 Accepting new patients
Teton Valley Health Care Inc CurrentSince Aug 23, 2025 Accepting new patients
Just 4 Kids Health LLC Pediatrics Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients
Just 4 Kids Health LLC Pediatrics Past Accepting new patients
Gainesville Pediatric Associates Inc Pediatrics Past Accepting new patients

Locations

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302

Interoperability endpoints

  • Direct secure messaging: stephen.beebe.1@15468.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1003892910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD",
            "address_2": "#402",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054381",
            "telephone_number": "352-333-5500",
            "fax_number": "352-333-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD",
            "address_2": "#402",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054381",
            "telephone_number": "352-333-5500",
            "fax_number": "352-333-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBE",
        "first_name": "STEPHEN",
        "middle_name": "SMYTH",
        "credential": "MD FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME81992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.