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
Hospital & facility affiliations 2
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
Kettering Independent Medical Group Inc
Saint Francis Physician Network, LLC
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
- St Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2025041627 | MO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current |
Accepting new patients | |
| Eric Blakney | Current | Accepting new patients | |
| SSM Health Care Group | Current |
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
- abeasley21741@mlh.direct-ci.com
- anna.beasley.1@16700.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Shawna Bearden-Allagas
- Jennifer D Bearden
- Kajuandria D Beasley-Williams
- Andrea Beasley
- Angel Beasley
- James Calvin Beasley Jr.
- Lisa L. Beattie
- Mitchell Drew Beatus
- Michael Christopher Beaucaire
- Margaret Beaudrot
All providers in Memphis, TN · Surgical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2025. 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.
- 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.