Individual provider Active NPI

Don E Beach, M.D.

  • Family Medicine Physician
  • Moulton, AL
National Provider Identifier
1366416943
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9068 Issued in AL
Practice address
633 Lawrence St
Moulton, AL 35650-1532
Phone
(256) 974-6646
Fax
(256) 974-8654
NPI assigned
Feb 13, 2006
Last updated
Sep 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9068 AL Primary

Addresses

Primary practice location

633 Lawrence St
Moulton, AL 35650-1532

Mailing address

633 Lawrence St
P.O. Box 8
Moulton, AL 35650-1532
Phone (256) 974-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060807000463 AL Practitioner - Family Practice 9234142688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

633 Lawrence St
Moulton, AL 35650-1532
Phone (256) 974-6646

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9068ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald E Beach PC Family Medicine CurrentSince Jan 1, 2006 Accepting new patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients
Attentus Moulton, LLC Past Accepting new patients

Locations

633 Lawrence St
Moulton, AL 35650
Phone (256) 974-6646

Interoperability endpoints

  • Direct secure messaging: dbeach@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1366416943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 LAWRENCE ST",
            "address_2": "P.O. BOX 8",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501532",
            "telephone_number": "256-974-6646",
            "fax_number": "256-974-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 LAWRENCE ST",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501532",
            "telephone_number": "256-974-6646",
            "fax_number": "256-974-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "DON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

Verify at the official NPI Registry.