Charles P Bean Jr., PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

A768 Issued in SC

Practice address

4350 Towne Centre Dr Ste 2200
Evans, GA 30809-3346

Phone

(706) 722-0705

Fax

(762) 333-0496

NPI assigned

Nov 1, 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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Augusta Urology Associates, LLCGroup PAC ID 9234226440, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Jefferson Hospital Hospital, Louisville, GA, CCN 110100

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.

• Augusta Urology Associates, LLC

  • Specialist
  • Evans, GA
  • NPI 1366511834

  GA

  Medicare reassignment Care Compare group
• Augusta Urology Associates, LLC

  • Non-Pharmacy Dispensing Site
  • Evans, GA
  • NPI 1922750462
  NPD

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

• Hospital Authority of Jefferson County and the City of Louisville

  • General Acute Care Hospital
  • Louisville, GA
  • NPI 1710992433

  Hospital

  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1053498519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR STE 2200",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093346",
            "telephone_number": "706-722-0705",
            "fax_number": "762-333-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR STE 2200",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093346",
            "telephone_number": "706-722-0705",
            "fax_number": "762-333-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "CHARLES",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "A768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryn Ashley Bates
• Myranda Abigail Bates, MA, BCBA
• Kim Batten, PHD, LLC
• Tommy Battle, LRT
• Linda R Baxter, LPC
• Erinn Beasley, FNP-BC
• Jacques L Beauchamp, PT,DPT,SCS,OCS,ATC
• Gary Michael Beaudreau, DMD
• Ashley Osborne Beck, LCSW
• Brandi Beckett

• All providers in Evans, GA
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.