David M Beauchamp
Individual provider Active NPI Physician Assistant · Jefferson City, TN
NPI 1316406499 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1316406499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3833 (TN)
- Practice address
- 336 W Old Andrew Johnson Hwy
Jefferson City, TN 37760-5275 - Phone
- (865) 475-6097
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ipc Pac Healthcare Services of Tennessee PC
BH Services Southeast 1 PC
Practice addresses (Care Compare)
1 Veterans Way
Knoxville, TN 37931-3161
Phone (855) 240-2530
122 Cavette Hill LN
Knoxville, TN 37934-6674
Phone (865) 777-9000
18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500
505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000
Hospital & facility affiliations
- Parkwest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190524001351 | TN | Practitioner - Physician Assistant | 7810230398 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3833 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit View Health Services, LLC | Current |
Accepting new patients | |
| Informe Healthcare in, LLC | Past | Accepting new patients |
Locations
12823 Kingston Pike
Knoxville, TN 37934
Phone (865) 862-8100
10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3833 | TN | Yes |
Addresses
Primary practice location
336 W Old Andrew Johnson Hwy
Jefferson City, TN 37760-5275
Mailing address
1220 Huntington Rd
Knoxville, TN 37919-8420
Phone (918) 457-0341
Other practice location 1
1220 Huntington Rd
Knoxville, TN 37919-8420
Phone (918) 457-0341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | TN |
Other providers in Jefferson City, TN
- Brenda Badawi
- Richard Baird
- Brent A Baker
- Baptist Primary & Senior Healthcare Clinic Jefferson City
- Paris Bath
- Bruce A. Bell
- Tammy Bello
- Denise Berry
- Katherine Besola
- Nicholas Frank Bianco
All providers in Jefferson City, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.