Anna D Beasley, PA-C

Individual provider Active NPI Surgical Physician Assistant · Memphis, TN

NPI 1376980045 · NPPES record last updated Oct 22, 2025

Key facts

NPI
1376980045
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
2025041627 (MO)
Practice address
6005 Park Ave
Lowenberg Building, Suite 802
Memphis, TN 38119-5202
Phone
(901) 236-0508
Fax
(901) 682-2143
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care Group (929 clinicians)
Kettering Independent Medical Group Inc (699 clinicians)
Saint Francis Physician Network, LLC (74 clinicians)

Practice addresses (Care Compare)

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

3533 Southern Blvd
Suite 5650
Kettering, OH 45429-1263
Phone (937) 294-3611

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-3409

6005 Park Ave
Suite 601
Memphis, TN 38119-5216
Phone (901) 680-9205

Hospital & facility affiliations

  • Kettering Health Main Campus Hospital · Kettering, OH · CCN 360079
  • St Francis Hospital Hospital · Memphis, TN · CCN 440183

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100 (group)
Quality
69.44
Promoting interoperability
100
Improvement activities
40
Cost
83.28

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in TN, MO, OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130715000716 TN Practitioner - Physician Assistant 7012157043 Reassigns benefits to 1 organization
I20251030003720 MO Practitioner - Physician Assistant 7012157043 Reassigns benefits to 1 organization
I20260421003657 OH Practitioner - Physician Assistant 7012157043 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2025041627MOMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group Current
since Oct 1, 2025
Accepting new patients
Eric Blakney Current Accepting new patients
SSM Health Care Group Current
since Oct 1, 2025
Accepting new patients

Locations

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

135 Plaza Dr
Ste 101
Sikeston, MO 63801
Phone (573) 472-7230

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

Interoperability endpoints

  • Direct secure messaging: abeasley21741@mlh.direct-ci.com
  • Direct secure messaging: anna.beasley.1@16700.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2353 TN
Surgical Physician Assistant 363AS0400X 2025041627 MO Yes

Addresses

Primary practice location

6005 Park Ave
Lowenberg Building, Suite 802
Memphis, TN 38119-5202

Mailing address

6005 Park Ave
Lowenberg Building, Suite 802
Memphis, TN 38119-5202
Phone (901) 236-0508

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2025.

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1376980045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "LOWENBERG BUILDING, SUITE 802",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-236-0508",
            "fax_number": "901-682-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "LOWENBERG BUILDING, SUITE 802",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-236-0508",
            "fax_number": "901-682-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "ANNA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2353",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2025041627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

All providers in Memphis, TN · Surgical Physician Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.