Individual provider Active NPI

Charles Britton Beasley Jr., MD

  • Psychiatry Physician
  • Richmond, VA
National Provider Identifier
1356669337
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101270868 Issued in VA
Practice address
3111 Northside Ave Ste 200
Richmond, VA 23228-5441
Phone
(804) 625-4494
NPI assigned
May 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 273356 NY
Psychiatry Physician 2084P0800X MD453693 PA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 0101270868 VA Primary

Addresses

Primary practice location

3111 Northside Ave Ste 200
Richmond, VA 23228-5441

Mailing address

3111 Northside Ave Ste 200
Richmond, VA 23228-5441
Phone (267) 417-9078

Other practice location 1

2401 Pennsylvania Ave Ste 1C44-45
Philadelphia, PA 19130-3010
Phone (267) 417-9078

Other identifiers 1

IdentifierTypeStateIssuer
0101270868OtherVAVA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321001268 VA Practitioner - NeuropsychiatryPractitioner - Other (Physician) 3072873744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3111 Northside Ave
Suite 200
Richmond, VA 23228-5441
Phone (804) 625-4494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia TMS, PLLC Psychiatry CurrentSince Dec 27, 2024 Accepting new patients

Locations

3111 Northside Ave
Ste 200
Richmond, VA 23228
Phone (804) 476-8274

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": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1356669337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 NORTHSIDE AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285441",
            "telephone_number": "267-417-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 NORTHSIDE AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285441",
            "telephone_number": "804-625-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Pennsylvania Ave Ste 1C44-45",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191303010",
            "country_code": "US",
            "telephone_number": "267-417-9078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "CHARLES",
        "middle_name": "BRITTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "273356",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD453693",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101270868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0101270868",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.