Active NPI
Jonathan A. Beatty, M.D.
- Pain Medicine (Psychiatry & Neurology) Physician
- Vero Beach, FL
National Provider Identifier
1205028149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- License
- MD441308
- Practice address
- 777 37TH St Ste C103
Vero Beach, FL 32960-7301 - Phone
- (772) 300-9077
- Fax
- (215) 764-6447
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD441308 | PA | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | MD441308 | PA | Primary |
| Psychiatry Physician | 2084P0800X | ME162732 | FL |
Addresses
Primary practice location
777 37TH St Ste C103
Vero Beach, FL 32960-7301
Mailing address
777 37TH St Ste C103
Vero Beach, FL 32960-7301
Phone (772) 300-9077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6 E Willow Grove Ave
Philadelphia, PA 19118-3426
Phone (215) 242-0420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME162732 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandpipermd, Inc. | Current | Accepting new patients | |
| Wave Treatment Centers LLC | Psychiatry | Current | Accepting new patients |
Locations
777 37th St
Ste C103
Vero Beach, FL 32960
Phone (561) 567-7639
6 E Willow Grove Ave
Philadelphia, PA 19118
Phone (215) 242-0420
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Philadelphia, PA
- NPI 1992273890
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1699607788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1205028149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 37TH ST STE C103",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607301",
"telephone_number": "772-300-9077",
"fax_number": "215-764-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 37TH ST STE C103",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607301",
"telephone_number": "772-300-9077",
"fax_number": "215-764-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "JONATHAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD441308",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "PA",
"license": "MD441308",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME162732",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.