Jerry Stephen Beasley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26439 Issued in TN

Practice address

1119 E College St
Ste 3
Pulaski, TN 38478

Phone

(931) 424-8881

Fax

(931) 424-5385

NPI assigned

Sep 29, 2006

Last updated

Jun 23, 2010By the provider in NPPES

Sex

Male

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Alabama School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amg-Hillside LLCGroup PAC ID 9436240017, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.beasley.1@19363.direct.athenahealth.com

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

• Amg-Hillside LLC

  dba Giles County Orthopaedic and Joint Center

  • Orthopaedic Surgery Physician
  • Pulaski, TN
  • NPI 1710105499
  Medicare reassignment Care Compare group NPD
• Amg-Hillside LLC

  dba Southern Tennessee Primary Care Lynnville

  • Rural Health Clinic/Center
  • Lynnville, TN
  • NPI 1407688369
  NPD
• Amg Hillside LLC

  • Infectious Disease Physician
  • Pulaski, TN
  • NPI 1891860797
  NPD (past)
• Amg-Hillside LLC

  dba First Choice Health - Pulaski

  • Rural Health Clinic/Center
  • Pulaski, TN
  • NPI 1568190551
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1144312869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST",
            "address_2": "STE 3",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "931-424-8881",
            "fax_number": "931-424-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST",
            "address_2": "STE 3",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "931-424-8881",
            "fax_number": "931-424-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "JERRY",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "26439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088920",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Messina Daniela Barnett
• Hannah Norwood Bass, DDS
• Stephania Lynn Bass, NP
• Mathios M Bayssie, MD
• James H Beall, M.D.
• Thomas M Bender, D.C.
• Eleanor Bergstresser-Simpson
• Dana Hogan Besherse, OTR
• Big Creek Healthcare, Inc.
• Tracey Bledsoe

• Family Medicine Physician in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.