Active NPI
Ronald Beaudreau, MD
- Emergency Medicine Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 042175
- Practice address
- 2260 Wrightsboro Rd
Augusta, GA 30904-4764 - Phone
- (866) 313-5266
- Fax
- (205) 313-5298
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1053170605
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
Emergency Medicine, GA
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1568412294
Emergency Medicine
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
Emergency Medicine
-
- Emergency Medicine Physician
- Washington, GA
- NPI 1891725719
Emergency Medicine
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.67 of 100
- Improvement activities
- 40
- Cost
- 79.56
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031104000002 | GA | Practitioner - Emergency Medicine | 0749192250 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042175 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Peach State Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Cyrus Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Past | Accepting new patients |
| Washington Wilkes Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411
120 Gordon St
Washington, GA 30673
Phone (706) 678-1177
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 042175 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2260 Wrightsboro Rd
Augusta, GA 30904-4764
Mailing address
PO Box 933049
Atlanta, GA 31193-3049
Phone (866) 313-5266
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000716999F | Medicaid | GA | |
| G45175 | Medicaid | SC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2007.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1356345136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933049",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311933049",
"telephone_number": "866-313-5266",
"fax_number": "205-313-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044764",
"telephone_number": "866-313-5266",
"fax_number": "205-313-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUDREAU",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "042175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000716999F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G45175",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.