Eddie Clifford Beal, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

018097 Issued in GA

Practice address

1093 Cleveland Ave
Atlanta, GA 30344-6740

Phone

(404) 768-2218

Fax

(404) 768-2138

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Emory University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beal Wellness LLCGroup PAC ID 4284012444, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Beal Wellness LLC

  • Psychiatry Physician
  • East Point, GA
  • NPI 1811494503
  Medicare reassignment Care Compare group NPD
• Center for Neuropsychiatry Outreach Progran

  • Community/Behavioral Health Agency
  • East Point, GA
  • NPI 1003344987
  NPD (past)
• Fulton County Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1437299625
  NPD (past)
• Fulton County Mhddad

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1285700682
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265644207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 CLEVELAND AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303446740",
            "telephone_number": "404-768-2218",
            "fax_number": "404-768-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 CLEVELAND AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303446740",
            "telephone_number": "404-768-2218",
            "fax_number": "404-768-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "EDDIE",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "018097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Collier Beacham
• Beacon Health Care Services
• Beacon Healthcare, Inc.
• Deslyn Adrianna Beade, MA
• Katie L Beak, NP
• Kimberly E Beal, D.M.D.
• Lena Danielle Beal, MS., RD., LD.
• Laura Beals
• Jeromey Chaderias Beaman, MD
• Heather Bean, CNP

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.