Gary Michael Beaudreau, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D09998 Issued in GA

Practice address

4250 Washington Rd
Evans, GA 30809-3087

Phone

(706) 860-3200

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043260466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 WASHINGTON RD",
            "address_2": "PO BOX 440",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093087",
            "telephone_number": "706-860-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 WASHINGTON RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093087",
            "telephone_number": "706-860-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDREAU",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "D09998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Battle, LRT
• Linda R Baxter, LPC
• Charles P Bean Jr., PA
• Erinn Beasley, FNP-BC
• Jacques L Beauchamp, PT,DPT,SCS,OCS,ATC
• Ashley Osborne Beck, LCSW
• Brandi Beckett
• Mark David Beckman, MD
• Birhanu Bedaso
• Belair Dental Associates

• All providers in Evans, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.