Life Point Medical, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

54546 Issued in GA

Legal business name

LIFE POINT MEDICAL, LLC

Practice address

189 Bo James Street
Suite 105
Clayton, GA 30525

Phone

(706) 782-0016

Fax

(706) 782-0180

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Scott Beck, M.D.NPI 1548223779

Title

Owner

Phone

(706) 782-0016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14758/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Scott Beck, M.D.

  • Internal Medicine Physician
  • Clayton, GA
  • NPI 1548223779
  Medicare reassignment Care Compare group NPD Authorized official
• Monique Diane Petteys, FNP-C

  • Family Nurse Practitioner
  • Clayton, GA
  • NPI 1902249675
  Medicare reassignment Care Compare group NPD
• Brian David Jamail, PA-C

  • Physician Assistant
  • Clayton, GA
  • NPI 1538391776
  Medicare reassignment Care Compare group
• John Richard Williams I, PA-C

  • Physician Assistant
  • Clayton, GA
  • NPI 1396141974
  Medicare reassignment Care Compare group
• Pamila Shelton McIntyre, A-GNP-C

  • Nurse Practitioner
  • Clayton, GA
  • NPI 1902541527
  Medicare reassignment NPD
• Garrett Shane Surrency, ADVANCED CARE NP

  • Acute Care Nurse Practitioner
  • Clayton, GA
  • NPI 1104348432
  Medicare reassignment NPD

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1154870533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BO JAMES STREET",
            "address_2": "SUITE 105",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "30525",
            "telephone_number": "706-782-0016",
            "fax_number": "706-782-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BO JAMES STREET",
            "address_2": "SUITE 105",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "30525",
            "telephone_number": "706-782-0016",
            "fax_number": "706-782-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE POINT MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-782-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "54546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Benjamin Katz, MD
• Molly Elizabeth Keaton
• Mary Keller, PMHNP-BC, RN
• Kramer Anesthesia Consulting Service
• Georges Lafleur, MD
• Amy Lovelace, RPH
• Sherri Stephens Lovett, RPH
• Carl W. Lynn, D.C.
• John Fitzgerald Mally Jr.
• Destiny Miller Mangan, M.S. CCC-SLP

• Medical Specialty Clinic/Center in Clayton, GA
• Providers in Clayton, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.