Rebekah Elise Head, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA819 Issued in AL

Practice address

521 Montgomery Hwy
Ste 117
Vestavia, AL 35216-1878

Phone

(205) 824-4441

Fax

(205) 822-3978

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebekah Elise Beaty Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brookwood Dermatology PCGroup PAC ID 4284523069, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Brookwood Dermatology, PC

  • MOHS-Micrographic Surgery Physician
  • Birmingham, AL
  • NPI 1487663266
  Medicare reassignment Care Compare group
• Aqua Dermatology of Alabama PC

  • MOHS-Micrographic Surgery Physician
  • Vestavia HLS, AL
  • NPI 1477708642
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1184986218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MONTGOMERY HWY",
            "address_2": "STE 117",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161878",
            "telephone_number": "205-824-4441",
            "fax_number": "205-822-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MONTGOMERY HWY",
            "address_2": "STE 117",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161878",
            "telephone_number": "205-824-4441",
            "fax_number": "205-822-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "REBEKAH",
        "middle_name": "ELISE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "BEATY",
            "middle_name": "ELISE",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norman Harris III, CRNA
• Tehani Harris
• Natalie Harrison, PHD
• Desiree Hatcher
• Angela Dixon Hayes, LPC
• Health Strides, Inc.
• Healthy Life and Nutrition, LLC
• Heart to Home Services, LLC Dba Your Choice Senior Care
• Deana Gilliland Heath, SLP
• George Carl Heinemann

• Surgical Physician Assistant in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.