Jason L Beatty, DO

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

5101018107 Issued in MI

Practice address

165 N State Ave
Alpena, MI 49707-2835

Phone

(517) 881-6199

Fax

(989) 340-1512

NPI assigned

Apr 14, 2009

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Docs PLLC

  dba Freedom Recovery Center

  • Addiction Medicine (Family Medicine) Physician
  • Alpena, MI
  • NPI 1649682196

  Single Specialty

  NPD Authorized official
• Alcona Citizens for Health, Inc.

  dba Alcona Health Centers

  • Federally Qualified Health Center (FQHC)
  • Harrisville, MI
  • NPI 1326055450

  Single Specialty

  NPD (past)
• Alcona Citizens for Health, Inc.

  dba Alcona Health Center Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Alpena, MI
  • NPI 1750159158
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1013150580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N STATE AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072835",
            "telephone_number": "517-881-6199",
            "fax_number": "989-340-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N STATE AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072835",
            "telephone_number": "517-881-6199",
            "fax_number": "989-340-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "5101018107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Marsden Bauer, R.PH.
• Bay Psychological Associates
• Baybrook Medical Center
• Wael Mohamad Baydoun, D.D.S.
• David M Beatty, D.D.S.
• Santiago Jose Becerra
• Jack Hunter Behl, D.D.S.
• Bella Rose Skin Care PLLC (Bella Rose Skin Care and Wellness Center)
• Jordan Bellmore, PA-C
• Josephine Bellmore

• Addiction Medicine (Family Medicine) Physician in Alpena, MI
• Providers in Alpena, MI by specialty
• Addiction Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.