Active NPI
Timothy N Beeson, MD
- Anesthesiology Physician
- Augusta, GA
National Provider Identifier
1356420756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 031560
- Practice address
- 2260 Wrightsboro Rd
Augusta, GA 30904-4764 - Phone
- (706) 481-7000
- NPI assigned
- Nov 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 031560 | GA | Primary |
Addresses
Primary practice location
2260 Wrightsboro Rd
Augusta, GA 30904-4764
Mailing address
PO Box 3330
Augusta, GA 30914-3330
Phone (803) 278-2473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G31560 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031560 | GA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356420756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3330",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143330",
"telephone_number": "803-278-2473",
"fax_number": "803-278-2473"
},
{
"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": "706-481-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEESON",
"first_name": "TIMOTHY",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "031560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G31560",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.