Individual provider Active NPI

Sunni Lee Beeck, D.O.

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1164862942
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06291 Issued in GA
Practice address
1800 10TH Ave
Columbus, GA 31901-1513
Phone
(706) 571-1120
Fax
(706) 571-1603
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06291 GA Primary

Addresses

Primary practice location

1800 10TH Ave
Columbus, GA 31901-1513

Mailing address

1900 10TH Ave
Suite 100
Columbus, GA 31901-3600
Phone (706) 571-1430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20151224000049 AL Practitioner - Family Practice 0648257899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 284-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
06291GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Current Accepting new patients
Nes Tennessee Inc Current Accepting new patients
Jackson Hospital and Clinic, Inc. Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 Accepting new patients
American Family Care, LLC CurrentSince Nov 16, 2015 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Nov 16, 2015 Accepting new patients
Aligned 2021 PastSince Apr 30, 2003 Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

4305 Atlanta Hwy
Montgomery, AL 36109
Phone (334) 271-7051

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1164862942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-571-1430",
            "fax_number": "706-571-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011513",
            "telephone_number": "706-571-1120",
            "fax_number": "706-571-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECK",
        "first_name": "SUNNI",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "06291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.