Active NPI
Lindsey F. Beauboeuf, DO
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1023547346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 87949
- Practice address
- 1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1649 - Phone
- (404) 836-0136
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS020033 | PA | |
| Family Medicine Physician | 207Q00000X | 25MB10874700 | NJ | |
| Family Medicine Physician | 207Q00000X | 87949 | GA | Primary |
Addresses
Primary practice location
1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1649
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (404) 836-0136
Other practice location 1
42 E Laurel Rd Ste 2100A
Stratford, NJ 08084-1354
Phone (856) 566-6477
Other practice location 2
630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NJExchange@patientfirstclinics.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 24, 2025 through Jul 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10874700 | NJ | MD | Family Medicine Physician |
| OS020033 | PA | MD | Family Medicine Physician |
Interoperability endpoints
- njexchange@patientfirstclinics.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1023547346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "404-836-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 RALPH DAVID ABERNATHY BLVD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101649",
"telephone_number": "404-836-0136"
}
],
"practiceLocations": [
{
"address_1": "42 E Laurel Rd Ste 2100A",
"address_purpose": "LOCATION",
"city": "Stratford",
"state": "NJ",
"postal_code": "080841354",
"country_code": "US",
"telephone_number": "856-566-6477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 Mantua Pike",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080963233",
"country_code": "US",
"telephone_number": "856-812-2220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAUBOEUF",
"first_name": "LINDSEY",
"middle_name": "F.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2022-07-21",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS020033",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB10874700",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "87949",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NJExchange@patientfirstclinics.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "630 Mantua Pike",
"city": "Woodbury",
"state": "NJ",
"country_code": "US",
"postal_code": "080963233",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.