Active NPI
Mary Margaret Beauchamp, M.D.
- Otolaryngology Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 056960
- Practice address
- 1825 Martha Berry Blvd NW
Rome, GA 30165-1625 - Phone
- (706) 295-5331
- Fax
- (706) 236-6491
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 056960 | GA | Primary |
Addresses
Primary practice location
1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Mailing address
221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 652877185A | Medicaid | GA | |
| 652877185C | Medicaid | GA | |
| 652877185B | Medicaid | GA |
Other names 1
- Mary Margaret Robichaux
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mary.beauchamp.1@1498.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060525000124 | GA | Practitioner - Otolaryngology | 1052322385 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Louisiana State University School of Medicine in New Orleans, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harbin Clinic LLC
Practice addresses (Care Compare)
101 Redmond Rd
Rome, GA 30165-1535
Phone (762) 235-1760
150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-7470
1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
855 Curtis Pkwy SE
Calhoun, GA 30701-3688
Phone (706) 624-5180
Hospital & facility affiliations
- Atrium Health Floyd Medical Center
- Adventhealth Redmond
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.23 of 100
- Quality
- 65.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056960 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Harbin Clinic, LLC | Current | Accepting new patients |
Locations
855 Curtis Pkwy SE
Calhoun, GA 30701
Phone (706) 624-5100
150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000
1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073
221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000
Interoperability endpoints
- mbeauchamp911037@carolinashealthcaresystem.direct-ci.com
- mbeauchamp2285519@direct.ochsner.org
- mary.beauchamp.1@1498.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Rome, GA
- NPI 1447385158
-
- Ambulatory Surgical Clinic/Center
- Cartersville, GA
- NPI 1467016055
-
- Durable Medical Equipment & Medical Supplies
- Cartersville, GA
- NPI 1609084250
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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1366496903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 TECHNOLOGY PKWY NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651369",
"telephone_number": "762-235-1000",
"fax_number": "706-236-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 MARTHA BERRY BLVD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651625",
"telephone_number": "706-295-5331",
"fax_number": "706-236-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUCHAMP",
"first_name": "MARY",
"middle_name": "MARGARET",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "056960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "652877185A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "652877185C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "652877185B",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mary.beauchamp.1@1498.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1825 Martha Berry Blvd NW",
"city": "Rome",
"state": "GA",
"country_code": "US",
"postal_code": "301651625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "ROBICHAUX",
"middle_name": "MARGARET",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.