Clinton S. Beverly MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CLINTON S. BEVERLY MD PC

Practice address

440 Charter Blvd
Suite 3302
Macon, GA 31210-4857

Phone

(478) 477-3112

Fax

(478) 477-4840

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clinton S Beverly, M.D.NPI 1275604647

Title

Owner

Phone

(478) 477-3112

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clinton Steven Beverly, M.D.

  • Surgery Physician
  • Lynchburg, VA
  • NPI 1275604647
  NPD (past) Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346311719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4047",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084047",
            "telephone_number": "478-477-3112",
            "fax_number": "478-477-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CHARTER BLVD",
            "address_2": "SUITE 3302",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104857",
            "telephone_number": "478-477-3112",
            "fax_number": "478-477-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON S. BEVERLY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-477-3112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GRP #",
            "identifier": "DC0201",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Sight Family Eyecare
• Amber Lee Cleghorn, AU.D, CCC-A
• Jon Mason Clements
• Maurice Clifton, MD
• Christian Rebecca Clinard, NP
• Jonathan Michael Clopton, NP
• Karen T Clubb, NP
• Coastal Home Care LLC
• Jonathan Michael Coates, MD
• Stacey Coats, M.A., SLP-CCC

• Surgery Physician in Macon, GA
• Providers in Macon, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.