Organization Active NPI

Beacon Accountable Care LLC

  • Exclusive Provider Organization
  • Morehead City, NC
National Provider Identifier
1073071817
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
BEACON ACCOUNTABLE CARE LLC
Practice address
4050 Arendell St Ste E
Morehead City, NC 28557-2940
Phone
(252) 514-0057
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mr. Bronnie Jones Jr.
Title
Director of Operations
Phone
(252) 514-0057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

4050 Arendell St Ste E
Morehead City, NC 28557-2940

Mailing address

4050 Arendell St Ste E
Morehead City, NC 28557-2940
Phone (252) 514-0057

Other names 1

  • Atlantic Integrated Health/The Beacon Company Other name

National Provider Directory

National Provider Directory

Locations

4050 Arendell St
Ste E
Morehead City, NC 28557
Phone (252) 514-0057

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1073071817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 ARENDELL ST STE E",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572940",
            "telephone_number": "252-514-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 ARENDELL ST STE E",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572940",
            "telephone_number": "252-514-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ACCOUNTABLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRONNIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "252-514-0057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Integrated Health/The Beacon Company",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.