Shelley Monique Beaty, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2149 Issued in AL

Practice address

2508 Pelham Pkwy
Pelham, AL 35124-1321

Phone

(205) 664-0880

NPI assigned

Feb 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelley Beaty Harrelson Other name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Centers of Alabama, PC 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Urology Centers of Alabama PC

  • Urology Physician
  • Homewood, AL
  • NPI 1710962550

  AL

  Medicare reassignment Care Compare group
• Urology Centers of Alabama PC

  • Community/Retail Pharmacy
  • Homewood, AL
  • NPI 1023861796
  Care Compare group NPD
• Cahaba Family Medicine, P.C.

  • Family Medicine Physician
  • Pelham, AL
  • NPI 1538262555
  NPD (past)

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1033817804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241321",
            "telephone_number": "205-664-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3485 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352095603",
            "country_code": "US",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATY",
        "first_name": "SHELLEY",
        "middle_name": "MONIQUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "HARRELSON",
            "middle_name": "BEATY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin C Barthel
• Realeene S Bassett
• Houston Oneal Bates, R.P.T.
• Richard Turner Baxter, D.M.D., M.S.
• BBH SBMC, LLC
• Bee Inspired Pediatric Therapy
• Behavioral Health Reimagined LLC
• Maleia Brooke Bell, MS, CCC-SLP
• James Paul Beretta, M.D., D.O.
• Kathryn Tipton Berner, PT, DPT

• All providers in Pelham, AL
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.