Individual provider Active NPI

Mark Edward Beamer, MD

  • Family Medicine Physician
  • Belhaven, NC
National Provider Identifier
1053426346
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9400718 Issued in NC
Practice address
598 W Old County Rd
Belhaven, NC 27810-1232
Phone
(252) 943-0600
Fax
(252) 943-2377
NPI assigned
Aug 20, 2006
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9400718 NC Primary

Addresses

Primary practice location

598 W Old County Rd
Belhaven, NC 27810-1232

Mailing address

245 Allen Street
Belhaven, NC 27810-1405
Phone (252) 944-2218

Other identifiers 2

IdentifierTypeStateIssuer
14095OtherNCBCBS
8914095MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbeamer24510@direct.vidanthealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041229000280 NC Practitioner - Family Practice 0244296358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

598 W Old County Rd
Belhaven, NC 27810-1232
Phone (252) 943-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Mar 15, 2012 Accepting new patients
Vidant Medical Group LLC CurrentSince Mar 15, 2012 Accepting new patients

Locations

161 E Water St
Belhaven, NC 27810
Phone (252) 943-6114

202 E Water St
Belhaven, NC 27810
Phone (252) 943-2111

245 Allen St
Belhaven, NC 27810
Phone (252) 944-2218

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • Direct secure messaging: mbeamer24510@direct.ecuhealth.com
  • Direct secure messaging: mbeamer24510@direct.vidanthealth.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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1053426346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ALLEN STREET",
            "city": "BELHAVEN",
            "state": "NC",
            "postal_code": "278101405",
            "telephone_number": "252-944-2218",
            "fax_number": "252-943-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 W OLD COUNTY RD",
            "city": "BELHAVEN",
            "state": "NC",
            "postal_code": "278101232",
            "telephone_number": "252-943-0600",
            "fax_number": "252-943-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMER",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9400718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14095",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8914095",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbeamer24510@direct.vidanthealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "598 W Old County Rd",
            "city": "Belhaven",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278101232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belhaven, NC

Sources for this page

Verify at the official NPI Registry.