Katelyn Beinburg, N.P

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

RN301959 Issued in GA

Practice address

4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644

Phone

(770) 692-0100

Fax

(770) 692-6190

NPI assigned

May 24, 2021

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katelyn Barclay Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Nurse Practitioner

Education

Georgetown University School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Southern Gastroenterology Specialists, P.CGroup PAC ID 3577500214, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.95 of 100Reported as group

Quality

90

Improvement activities

40

Cost

69.82

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDFJAD

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.

• Southern Gastroenterology Specialists, P.C

  • Specialist
  • Locust Grove, GA
  • NPI 1952405052
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1255906079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 BILL GARDNER PKWY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483644",
            "telephone_number": "404-641-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 BILL GARDNER PKWY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483644",
            "telephone_number": "770-692-0100",
            "fax_number": "770-692-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1393 E Sego Lily Dr",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840924350",
            "country_code": "US",
            "telephone_number": "801-619-9000",
            "fax_number": "801-619-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEINBURG",
        "first_name": "KATELYN",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "14309433-4405",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "RN301959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "BARCLAY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia Omoh Ayonote
• Colin Elijah Backas
• Barnes Orthopedic, Sport, and Spine Physical Therapy LLC
• Bay Pharmacy Inc (Bay Pharmacy)
• Baylor Healthcare Services LLC
• Morgan Brooke Bennett
• Jewel Blake-Henry, LPN
• Chechina Latonya Bledsoe
• Blessed Withdignity LLC
• Blessing 2 Transport LLC

• Gastroenterology Physician in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.