Individual provider Active NPI

Eleanor M Beason, MSW LCSW

  • Clinical Social Worker
  • Columbus, GA
National Provider Identifier
1114240272
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001620 Issued in GA
Practice address
1600 Fort Benning Rd
Columbus, GA 31903-2834
Phone
(706) 322-9599
Fax
(706) 221-8593
NPI assigned
Mar 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1418C AL
Clinical Social Worker 1041C0700X CSW001620 GA Primary

Addresses

Primary practice location

1600 Fort Benning Rd
Columbus, GA 31903-2834

Mailing address

1600 Fort Benning Rd
Columbus, GA 31903-2834
Phone (706) 322-9599

Other identifiers 2

IdentifierTypeStateIssuer
355976187CMedicaidGA
164144MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000133 GA Practitioner - Clinical Social Worker 4587552807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Healthcare System IncGroup PAC ID 8628988276, 12 clinicians

Practice addresses (Care Compare)

1458 Benning Dr
Columbus, GA 31903-2200
Phone (706) 940-3601

1600 Fort Benning Rd
Columbus, GA 31903-2834
Phone (706) 689-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1418CALMDClinical Social Worker
CSW001620GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Healthcare System CurrentSince Dec 4, 2024 Accepting new patients
Valley Healthcare System Inc CurrentSince Dec 4, 2024 Accepting new patients

Locations

1600 Fort Benning Rd
Columbus, GA 31903
Phone (706) 322-9599

94 McCrary Rd
Fortson, GA 31808
Phone (706) 987-8216

341 N Washington Ave
Talbotton, GA 31827
Phone (706) 665-2585

Interoperability endpoints

  • Direct secure messaging: eleanor.beason@vhs.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1114240272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FORT BENNING RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032834",
            "telephone_number": "706-322-9599",
            "fax_number": "706-221-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FORT BENNING RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032834",
            "telephone_number": "706-322-9599",
            "fax_number": "706-221-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASON",
        "first_name": "ELEANOR",
        "middle_name": "M",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1418C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355976187C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164144",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.