Virginia Beasley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12605 Issued in SC

Practice address

201 W a Ave
Easley, SC 29640-2051

Phone

(864) 855-5104

Fax

(864) 859-9362

NPI assigned

Jun 23, 2006

Last updated

Feb 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1093741266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W A AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402051",
            "telephone_number": "864-855-5104",
            "fax_number": "864-859-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W A AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402051",
            "telephone_number": "864-855-5104",
            "fax_number": "864-859-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "VIRGINIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126054",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary W. Batson
• Jennifer Baxter, RD
• Charles Lawrence Bayne Jr., ED.S.
• Frank Brown Beacham, MD
• Scott Douglas Beane, MD
• Thomas Becking, LDO
• Tasha Beeks-Gibson, OTR/L
• Tiffany S Beeks, LPC
• Angela Boggs Bell, FNP
• Jessica Gravely Bell

• Family Medicine Physician in Easley, SC
• Providers in Easley, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.