Active NPI
Kulisha Y. Beasley
- Social Worker
- Commerce, GA
National Provider Identifier
1104741107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW010396
- Practice address
- 119 Banks Rd
Commerce, GA 30529-6303 - Phone
- (706) 386-2063
- NPI assigned
- Aug 11, 2026
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW010396 | GA | Primary |
Addresses
Primary practice location
119 Banks Rd
Commerce, GA 30529-6303
Mailing address
119 Banks Rd
Commerce, GA 30529-6303
Phone (706) 386-2063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW010396 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1104741107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BANKS RD",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305296303",
"telephone_number": "706-386-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BANKS RD",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305296303",
"telephone_number": "706-386-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "KULISHA",
"middle_name": "Y.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "GA",
"license": "CSW010396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, GA
- Homaira Avendano, D.D.S
- Back to Life Chiropractic, LLC
- Banks-Jackson-Commerce Hospital and Nursing Home Authority (BJC Medical Center)
- Bates Therapy & Wellness, LLC
- Chris Baumann, RD, LD
- Belmont Emergency Physicians, PC
- Belmont Physician Services, PC
- Jennifer Benford, LCSW
- BJC Medical Emergency Physicians, LLC
- Mildaly Blanco, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.