Individual provider Active NPI

Nisha Beard

  • Psychiatry Physician
  • Savannah, GA
National Provider Identifier
1023759198
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
98872 Issued in GA
Practice address
601 E 66TH St
Savannah, GA 31405-4519
Phone
(912) 662-0088
NPI assigned
Apr 5, 2022
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 13711 GA
Psychiatry Physician 2084P0800X 13711 GA
Psychiatry Physician 2084P0800X 98872 GA Primary

Addresses

Primary practice location

601 E 66TH St
Savannah, GA 31405-4519

Mailing address

601 E 66TH St
Savannah, GA 31405-4519
Phone (912) 662-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240725004715 GA Practitioner - Psychiatry 6002352085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMP Southland, LLCGroup PAC ID 1153563770, 28 clinicians
Gateway Community Service BoardGroup PAC ID 3173510237, 42 clinicians

Practice addresses (Care Compare)

2927 Demere Rd
St Simons Is, GA 31522-1620
Phone (229) 236-0831

600 Coastal Village Dr
Brunswick, GA 31520-1973
Phone (912) 554-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13711GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Savannah, LLC CurrentSince Oct 17, 2025 Accepting new patients
Gateway Behavioral Health Services CurrentSince May 1, 2024 Accepting new patients
Uhs of Savannah LLC Current Accepting new patients
Gateway Community Service Board CurrentSince May 1, 2024 Accepting new patients

Locations

600 Coastal Village Dr
Brunswick, GA 31520
Phone (866) 557-9955

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

124 SW Broad St
Jesup, GA 31545
Phone (912) 280-7023

1150 Cornell Ave
Savannah, GA 31406
Phone (912) 354-3911

601 E 66th St
Savannah, GA 31405
Phone (912) 503-9539

633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1023759198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054519",
            "telephone_number": "912-662-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054519",
            "telephone_number": "912-662-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "NISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "13711",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "13711",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "98872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.