NPIMap

Individual provider Active NPI

Jessica Whitehead Beier, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tifton, GA
National Provider Identifier
1366437444
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
044378 Issued in GA
Practice address
901 18TH St E
Tifton, GA 31794-3648
Phone
(229) 392-1153
Fax
(229) 353-7701
NPI assigned
Sep 15, 2005
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 044378 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 044378 GA Primary

Addresses

Primary practice location

901 18TH St E
Tifton, GA 31794-3648

Mailing address

PO Box 7442
Tifton, GA 31793-7442
Phone (229) 392-1153

Other names 1

  • Dr. Jessica W Leiden Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000598 GA Practitioner - Pathology 0840207841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Georgia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044378GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Mar 1, 2019 Accepting new patients
Tifton Pathological Services CurrentSince Jul 1, 2001 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 1, 2018 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc. CurrentSince Jun 1, 2018 Accepting new patients
Western Wyoming Pathology, Inc Past Accepting new patients
A Francine Tryka MD PC Past Accepting new patients

Locations

706 N Parrish Ave
Adel, GA 31620
Phone (229) 896-8000

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwell Medical Sylvia Barr CenterAdel, GA, CCN 11S101 Hospital Corporate Director Dec 20, 2018
Southwell MedicalAdel, GA, CCN 110101 Hospital Corporate Director Mar 1, 2019
Tift Regional Health System IncTifton, GA, CCN 110095 Hospital Corporate Director Mar 1, 2019
Hospice of Tift AreaTifton, GA, CCN 111520 Hospice Corporate Director Dec 20, 2018
Southwell Medical Adel Primary CareAdel, GA, CCN 118528 Rural health clinic Corporate Director Dec 20, 2018
Southwell MedicalSylvester, GA, CCN 118578 Rural health clinic Corporate Director Mar 1, 2019
Southwell Medical Ashburn Primary CareAshburn, GA, CCN 118574 Rural health clinic Corporate Director Mar 1, 2019
Southwell MedicalNashville, GA, CCN 118577 Rural health clinic Corporate Director Mar 1, 2019
Southwell Medical Community HealthTifton, GA, CCN 118576 Rural health clinic Corporate Director Mar 1, 2019

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 2

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1366437444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7442",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937442",
            "telephone_number": "229-392-1153",
            "fax_number": "229-353-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 18TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943648",
            "telephone_number": "229-392-1153",
            "fax_number": "229-353-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIER",
        "first_name": "JESSICA",
        "middle_name": "WHITEHEAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "044378",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "044378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEIDEN",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.