Adreana Beaumont – Occupational Therapist

Key facts

NPI: 1083176986
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
Practice address: 2455 Oak Grove Church Rd
Carrollton, GA 30117-9513
Phone: (770) 834-1737
NPI assigned: Apr 1, 2019
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X			Yes

Addresses

Primary practice location

2455 Oak Grove Church Rd
Carrollton, GA 30117-9513

Mailing address

102 Meadow Side CT
Carrollton, GA 30116-8833
Phone (678) 633-0380

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	carrolltonmanor	Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2019.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1083176986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEADOW SIDE CT",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168833",
            "telephone_number": "678-633-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 OAK GROVE CHURCH RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301179513",
            "telephone_number": "770-834-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUMONT",
        "first_name": "ADREANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carrolltonmanor",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2455 Oak Grove Church Rd",
            "city": "Carrollton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301179513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, GA

All providers in Carrollton, GA · Occupational Therapist in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2019. 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.

Verify at the official NPI Registry.