Active NPI
Darold Kevin Beard, M.D.
- Family Medicine Physician
- Miramar, FL
National Provider Identifier
1417090192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30719
- Practice address
- 3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308 - Phone
- (877) 866-7123
- NPI assigned
- Feb 14, 2007
- Last updated
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30719 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 030719 | GA |
Addresses
Primary practice location
3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308
Mailing address
500 Pine Valley Dr
Alpharetta, GA 30009-6830
Phone (770) 664-1685
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 |
|---|---|---|---|
| 30719 | GA | MD | Family Medicine Physician |
| 030719 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Associates PC | Internal Medicine | Current | Accepting new patients |
| Correctmed Scott, LLC | Current | Accepting new patients | |
| Boston Heart Diagnostics Corporation | Current | Accepting new patients | |
| Correctmed Locust Grove, LLC | Family Medicine | Past | Accepting new patients |
Locations
407 E Maple St
Ste 101
Cumming, GA 30040
Phone (770) 888-6697
1418 Scott Blvd
Decatur, GA 30030
Phone (404) 446-1340
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAFIAD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Lenexa, KS
- NPI 1922259753
-
- Pediatrics Physician
- Locust Grove, GA
- NPI 1659650810
-
- Internal Medicine Physician
- Cumming, GA
- NPI 1376600825
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1245554682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1417090192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PINE VALLEY DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300096830",
"telephone_number": "770-664-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "DAROLD",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "30719",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "030719",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.