Individual provider Active NPI

Mariah Alexander Beasley, M.D.

  • Surgery Physician
  • Knoxville, TN
National Provider Identifier
1043476831
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD49949 Issued in TN
Practice address
10810 Parkside Dr Ste 305
Knoxville, TN 37934-1986
Phone
(865) 392-3971
Fax
(865) 392-3972
NPI assigned
Aug 1, 2008
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD49949 TN Primary

Addresses

Primary practice location

10810 Parkside Dr Ste 305
Knoxville, TN 37934-1986

Mailing address

10810 Parkside Dr Ste 305
Knoxville, TN 37934-1986
Phone (865) 392-3971

Other names 1

  • Andrea Mariah Alexander Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mariah.beasley.1@4694.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130716000148 TN Practitioner - General Surgery 0446406953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10800 Parkside Dr
Knoxville, TN 37934-1922

10810 Parkside Dr
Knoxville, TN 37934-1981

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

434 4TH St
Suite 305
Newport, TN 37821-3735
Phone (423) 623-0419

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

7557 B Dannaher Dr
Powell, TN 37849-3568

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD49949TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC Surgery CurrentSince Sep 9, 2019 Accepting new patients
Metro Knoxville Hma LLC Past Accepting new patients

Locations

120 Hospital Dr
Ste 100
Jefferson City, TN 37760
Phone (865) 471-2570

10800 Parkside Dr
Ste 203
Knoxville, TN 37934
Phone (865) 218-6240

10810 Parkside Dr
Ste 305
Knoxville, TN 37934
Phone (865) 392-3971

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

434 4th St
Ste 305
Newport, TN 37821
Phone (423) 415-3282

7557B Dannaher Dr
Ste 225
Powell, TN 37849
Phone (865) 647-3450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mariah.beasley.1@4694.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1043476831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341986",
            "telephone_number": "865-392-3971",
            "fax_number": "865-392-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341986",
            "telephone_number": "865-392-3971",
            "fax_number": "865-392-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "MARIAH",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD49949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariah.beasley.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct address",
            "address_1": "10810 Parkside Dr Ste 305",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379341986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ALEXANDER",
            "middle_name": "MARIAH",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.