Active NPI
James H Beall, M.D.
- Family Medicine Physician
- Pulaski, TN
National Provider Identifier
1316928526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25035
- Practice address
- 215 S Cedar LN
Pulaski, TN 38478-3502 - Phone
- (931) 363-2511
- Fax
- (931) 424-6109
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25035 | TN | Primary |
Addresses
Primary practice location
215 S Cedar LN
Pulaski, TN 38478-3502
Mailing address
215 S Cedar LN
P.O. Box 577
Pulaski, TN 38478-3502
Phone (931) 363-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3080294 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians & Surgeons, Inc. | Family Medicine | Current | Accepting new patients |
Locations
215 S Cedar Ln
Pulaski, TN 38478
Phone (931) 363-2511
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1316928526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S CEDAR LN",
"address_2": "P.O. BOX 577",
"city": "PULASKI",
"state": "TN",
"postal_code": "384783502",
"telephone_number": "931-363-2511",
"fax_number": "931-424-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S CEDAR LN",
"city": "PULASKI",
"state": "TN",
"postal_code": "384783502",
"telephone_number": "931-363-2511",
"fax_number": "931-424-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALL",
"first_name": "JAMES",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "25035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3080294",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.