Active NPI
Annette Darlene Beasley, M.D.
- Family Medicine Physician
- Mayfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35785
- Practice address
- 1099 Medical Center Cir
Mayfield, KY 42066-1159 - Phone
- (812) 267-0686
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clarksville Physician Services PC
Practice addresses (Care Compare)
1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-4251
Hospital & facility affiliations
- Harrison County Hospital
- Norton Hospitals, Inc
- Harrison County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040420000512 | IN | Practitioner - Family Practice | 2860487667 | Reassigns benefits to 1 organization |
| I20160120002594 | FL | Practitioner - Family Practice |
2860487667 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053156A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hma/Solantic Joint Venture, LLC | Current |
Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Current |
Accepting new patients | |
| Carespot of Orlando Hsi Urgent Care LLC | Family Medicine | Current |
Accepting new patients |
| Shands/Solantic Joint Venture, LLC | Current |
Accepting new patients | |
| Solantic of Jacksonville, LLC | Family Medicine | Current |
Accepting new patients |
| Inpatient Consultants of Florida Inc | Current |
Accepting new patients | |
| Clarksville Physician Services PC | Family Medicine | Current |
Accepting new patients |
| VMD Primary Providers Central Florida PLLC | Family Medicine | Current |
Accepting new patients |
| Solantic/South Florida, LLC | Current |
Accepting new patients | |
| Patients Primary Care LLC | Current |
Accepting new patients | |
| Floyd Memorial Hospital and Health Services | Past | Accepting new patients | |
| Community Medical Associates, Inc. | Past | Accepting new patients | |
| Community Medical Associates, Inc. | Past | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Family Medicine | Past |
Accepting new patients |
Locations
3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202
4404 S Highway 27
Clermont, FL 34711
3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449
720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000
5964 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-0121
2032 Dunn Ave
Jacksonville, FL 32218
Phone (904) 757-2008
2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337
1414 E Osceola Pkwy
Kissimmee, FL 34744
Phone (407) 452-3700
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
3533 E Silver Springs Blvd
Ocala, FL 34470
2415 SW College Rd
Ocala, FL 34471
Phone (352) 237-3536
4413 NW Blitchton Rd
Ocala, FL 34482
Phone (352) 629-8088
1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725
2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030
5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611
9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881
1611 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 580-4001
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
200 Corporate Blvd
Lafayette, LA 70508
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01053156A | IN | |
| Family Medicine Physician | 207Q00000X | 35785 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1099 Medical Center Cir
Mayfield, KY 42066-1159
Mailing address
14291 NE 47TH Ave
Anthony, FL 32617-2513
Phone (812) 267-0686
Other practice location 1
14291 NE 47th Ave
Anthony, FL 32617-2513
Phone (812) 267-0686
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00058122 | Other | IN | RAILROAD MEDICARE NUMBER |
| 000000292351 | Other | IN | ANTHEM |
| 200357830A | Medicaid | IN | |
| M400068689 | Other | KY | ANTHEM- ICC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2026.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1063504207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14291 NE 47TH AVE",
"city": "ANTHONY",
"state": "FL",
"postal_code": "326172513",
"telephone_number": "812-267-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 MEDICAL CENTER CIR",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420661159",
"telephone_number": "812-267-0686"
}
],
"practiceLocations": [
{
"address_1": "14291 NE 47th Ave",
"address_purpose": "LOCATION",
"city": "Anthony",
"state": "FL",
"postal_code": "326172513",
"country_code": "US",
"telephone_number": "812-267-0686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEASLEY",
"first_name": "ANNETTE",
"middle_name": "DARLENE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01053156A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "35785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00058122",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000292351",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200357830A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM- ICC",
"identifier": "M400068689",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
- 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.