Beacon Pediatrics
Organization Active NPI Primary Care Clinic/Center · Waycross, GA
NPI 1043495963 · NPPES record last updated Jul 31, 2013
Key facts
- NPI
- 1043495963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 045745 (GA)
- Legal business name
- BEACON PEDIATRICS
- Practice address
- 801 Beacon St
Waycross, GA 31501-7109 - Phone
- (912) 285-2440
- Fax
- (912) 287-0197
- NPI assigned
- Jan 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kitty Cheatham, LPN, RMM
- Title
- Office Manager
- Phone
- (912) 285-2440
Practitioners 1
-
David H Cheatham, MD
National Provider Directory
Locations
801 Beacon St
Waycross, GA 31501
Phone (912) 285-2440
Interoperability endpoints
- https://api.platform.athenahealth.com/1450/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 045745 | GA | Yes |
Addresses
Primary practice location
801 Beacon St
Waycross, GA 31501-7109
Mailing address
801 Beacon St
Waycross, GA 31501-7109
Phone (912) 285-2440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000797024D | Medicaid | GA |
Other names
- DAVID H. CHEATHAM, M.D.,P.C.
Other providers in Waycross, GA
- Baptist Village, Inc.
- Emily Bennett Barefield
- Barjinder Singh MD PC
- Barnes Drug Stores of Valdosta, Inc
- Larry L. Batten
- James Harworth Beale
- Eric Spires Belcher
- Alex T Bell
- Mary Hannah Benek
- Robert Worthington Bengels
All providers in Waycross, GA · Primary Care Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.