Active NPI
Paul M Beltran, MD
- Cardiovascular Disease Physician
- Athens, GA
National Provider Identifier
1376627893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 020189
- Practice address
- 700 Sunset Dr
Ste 302
Athens, GA 30606 - Phone
- (706) 548-9111
- Fax
- (706) 548-9224
- NPI assigned
- Oct 24, 2006
- Last updated
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 020189 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | 020189 | GA | Primary |
Addresses
Primary practice location
700 Sunset Dr
Ste 302
Athens, GA 30606
Mailing address
PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020189 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Hospital, Inc. | Past | Accepting new patients | |
| Marilyn Digamon Beltran | Past | Accepting new patients | |
| Northeast Internal Medicine, P.C. | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Monroe, GA
- NPI 1972636710
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1376627893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48089",
"city": "ATHENS",
"state": "GA",
"postal_code": "306048089",
"telephone_number": "706-389-3740",
"fax_number": "706-389-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SUNSET DR",
"address_2": "STE 302",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-548-9111",
"fax_number": "706-548-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "PAUL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "020189",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "020189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.