Jessica Margaret Beaver, CAA
Individual provider Active NPI Anesthesiologist Assistant · Atlanta, GA
NPI 1326658337 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1326658337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 056603863 (GA)
- Practice address
- 80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031 - Phone
- (404) 616-5519
- NPI assigned
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 44
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
- Prisma Health Baptist Easley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.33 of 100
- Quality
- 75.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.29
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210105000533 | GA | Practitioner - Anesthesiology Assistant | 5597178954 | Reassigns benefits to 2 organizations |
| I20230824001872 | SC | Practitioner - Anesthesiology Assistant | 5597178954 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056603863 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Georgia LLC | Anesthesiologist Assistant | Current |
Accepting new patients |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 115 | SC | |
| Anesthesiologist Assistant | 367H00000X | 056603863 | GA | Yes |
Addresses
Primary practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Mailing address
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-5519
Other practice location 1
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other providers in Atlanta, GA
- Beautifulll Wigs, LLC
- Beauty Aesthetics LLC
- Sarah Joie Beauvais
- Stephanie Beauvais
- Jared D Beaver
- Kelly Renee Beavers
- Teresa Beavers
- Claudia Becerra
- Jose Becerra
- Abby Bechler-Karsch
All providers in Atlanta, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2023. 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.
- 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.