Individual provider Active NPI

Joseph Andrew Flagg, PA-C

  • Physician Assistant
  • Beverly, MA
National Provider Identifier
1457912842
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7131 Issued in MA
Practice address
85 Herrick St
Beverly, MA 01915-1777
Phone
(978) 922-3000
NPI assigned
Jun 26, 2019
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA7131 MA Primary

Addresses

Primary practice location

85 Herrick St
Beverly, MA 01915-1777

Mailing address

85 Herrick St
Beverly, MA 01915-1777
Phone (978) 922-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930002965 FL Practitioner - Physician Assistant 4981936697 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115990FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group of Florida LLC Urology CurrentSince Sep 9, 2022 Accepting new patients
Urology Group of Florida LLC Urology CurrentSince Sep 9, 2022 Accepting new patients

Locations

5350 Atlantic Ave
Ste 102
Delray Beach, FL 33484
Phone (561) 496-4444

4889 S Congress Ave
Ste 100
Palm Springs, FL 33461
Phone (561) 964-1212

4889 S Congress Ave
Palm Springs, FL 33461
Phone (561) 734-8120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1457912842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HERRICK ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151777",
            "telephone_number": "978-922-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HERRICK ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151777",
            "telephone_number": "978-922-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGG",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.