Marie Lee Beasley, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

2937 Issued in TN

Practice address

1222 Tremont St
Suite 101, Office a
Chattanooga, TN 37405-3038

Phone

(423) 443-2120

Fax

(423) 425-9923

NPI assigned

Jun 8, 2009

Last updated

Aug 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1295961050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 TREMONT ST",
            "address_2": "SUITE 101, OFFICE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053038",
            "telephone_number": "423-443-2120",
            "fax_number": "423-425-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TREMONT ST",
            "address_2": "SUITE 101, OFFICE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053038",
            "telephone_number": "423-443-2120",
            "fax_number": "423-425-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "MARIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "DO0000002937",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "2937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295961050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce A Beardsley, NP
• Elizabeth Beasley
• Glenn A. Beasley, M.D.
• Justin Richard Beasley, MD
• Marcie T Beasley, N.P.
• Savannah Jo Beasley, DNP FNP
• Vincent Alan Beasley, CRNA
• Megan Susanne Beatrice, MSW, LSSW
• Shannon Nichole Beatty, M.S. CCC-SLP
• Sherri Gail Beatty

• Child & Adolescent Psychiatry Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Child & Adolescent Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.