Individual provider Active NPI

Beatrice Farnum

  • Case Manager/Care Coordinator
  • Jonesboro, GA
National Provider Identifier
1285925560
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
8832 Twin Oaks Dr
Jonesboro, GA 30236-5154
Phone
(770) 377-1806
Fax
(770) 473-0511
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

8832 Twin Oaks Dr
Jonesboro, GA 30236-5154

Mailing address

8832 Twin Oaks Dr
Jonesboro, GA 30236-5154
Phone (770) 377-1806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1285925560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8832 TWIN OAKS DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365154",
            "telephone_number": "770-377-1806",
            "fax_number": "770-473-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8832 TWIN OAKS DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365154",
            "telephone_number": "770-377-1806",
            "fax_number": "770-473-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNUM",
        "first_name": "BEATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.