Jessica Whitehead Beier, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Tifton, GA
NPI 1366437444 · NPPES record last updated Oct 4, 2016
Key facts
- NPI
- 1366437444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 044378 (GA)
- Practice address
- 901 18TH St E
Tifton, GA 31794-3648 - Phone
- (229) 392-1153
- Fax
- (229) 353-7701
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 9
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Hospital & facility affiliations
- Tift Regional Medical Center
- Southwell Medical, a Campus of TRMC
- Dorminy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.02 of 100
- Quality
- 57.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Southwell Medical Sylvia Barr Center |
Hospital | Corporate Director | Dec 20, 2018 |
| Southwell Medical |
Hospital | Corporate Director | Mar 1, 2019 |
| Tift Regional Health System Inc |
Hospital | Corporate Director | Mar 1, 2019 |
| Hospice of Tift Area |
Hospice | Corporate Director | Dec 20, 2018 |
| Southwell Medical Adel Primary Care |
Rural health clinic | Corporate Director | Dec 20, 2018 |
| Southwell Medical |
Rural health clinic | Corporate Director | Mar 1, 2019 |
| Southwell Medical Ashburn Primary Care |
Rural health clinic | Corporate Director | Mar 1, 2019 |
| Southwell Medical |
Rural health clinic | Corporate Director | Mar 1, 2019 |
| Southwell Medical Community Health |
Rural health clinic | Corporate Director | Mar 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100804000598 | GA | Practitioner - Pathology | 0840207841 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc. | Current |
Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current |
Accepting new patients | |
| Tift Regional Health System Inc | Current |
Accepting new patients | |
| Tifton Pathological Services | Current |
Accepting new patients | |
| Tift Regional Health System Inc | Current |
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
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061
907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 044378 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 044378 | GA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000913184A | Medicaid | GA |
Other names
- Dr. Jessica W Leiden
NPI Registry JSON
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000913184A",
"state": "GA"
}
],
"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
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- Laura Leigh Bedeir
- Behavioral Health Services of South Georgia
- Behavioral Health Services of South Georgia
- Behavioral Health Services of South Georgia
- Allison Marie Bell
- Christy Bell
- Linsey Brooke Bennett
- Brittney W Berckman
- BHG Lxvi, LLC
All providers in Tifton, GA · Anatomic Pathology & Clinical Pathology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.