Individual provider Active NPI

Shameem Ahmad Beigh

  • Nephrology Physician
  • Augusta, GA
National Provider Identifier
1194072405
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
99562 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-4949
Phone
(706) 721-8623
NPI assigned
Aug 7, 2012
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7745 ZZ
Nephrology Physician 207RN0300X 52020 SC
Nephrology Physician 207RN0300X 99562 GA Primary
Hospitalist Physician 208M00000X 52020 SC

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-4949

Mailing address

1120 15TH St # Or6000
Augusta, GA 30912-0004
Phone (706) 721-3813

Other practice location 1

Taylor At Marion Street
Columbia, SC 29220-1900
Phone (803) 434-6771

Other practice location 2

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9380

Other practice location 3

625 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7950

Other identifiers 1

IdentifierTypeStateIssuer
520207MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180727000119 SC Practitioner - NephrologyPractitioner - Internal Medicine 7315294931 Reassigns benefits to 4 organizations
I20240805000372 GA Practitioner - Nephrology 7315294931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, shared by 2 NPIs, 3,059 clinicians
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

121 Park Central Dr
Suite 200
Columbia, SC 29203-6476
Phone (706) 721-8623

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7745ZZMDInternal Medicine Physician
99562GAMDNephrology Physician
52020SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Jun 1, 2024 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince Oct 30, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Sumter Medical Specialists PA Internal Medicine Current Accepting new patients
Carolina Diabetes & Kidney Center, LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Au Medical Associates Inc CurrentSince Jun 1, 2024 Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 30, 2023 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

5354 Reynolds St
Ste 212
Savannah, GA 31405
Phone (706) 721-2888

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

121 Park Central Dr
Ste 200
Columbia, SC 29203
Phone (803) 252-9907

14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

625 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7950

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEAHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCAHAD
  • Direct secure messaging: sbeigh470954@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1194072405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # OR6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309124949",
            "telephone_number": "706-721-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Taylor At Marion Street",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292201900",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "fax_number": "803-434-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504949",
            "country_code": "US",
            "telephone_number": "803-774-9380",
            "fax_number": "803-434-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 W Wesmark Blvd",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291501900",
            "country_code": "US",
            "telephone_number": "803-469-7950",
            "fax_number": "803-869-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIGH",
        "first_name": "SHAMEEM",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ZZ",
            "license": "7745",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "52020",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "99562",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "52020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520207",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.