Organization Active NPI

Beatty Medical Consulting, PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1376980417
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
9801162 Issued in NC
Legal business name
BEATTY MEDICAL CONSULTING, PC
Practice address
9507 Brandemere CT
Charlotte, NC 28210-1027
Phone
(704) 453-1667
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Andrew Beatty, M.D.NPI 1649257932
Title
President/Owner
Phone
(704) 453-1887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X 9801162 NC Primary

Addresses

Primary practice location

9507 Brandemere CT
Charlotte, NC 28210-1027

Mailing address

9507 Brandemere CT
Charlotte, NC 28210-1027
Phone (704) 453-1667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130905000580 NC Part B Supplier - Clinic/Group Practice 2769625029 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1376980417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9507 BRANDEMERE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282101027",
            "telephone_number": "704-453-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 BRANDEMERE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282101027",
            "telephone_number": "704-453-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATTY MEDICAL CONSULTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-453-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NC",
            "license": "9801162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.