Cameron Wade Beatty

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

2310 Juneberry CT
Charlotte, NC 28216-3284

Phone

(704) 562-8170

NPI assigned

Aug 10, 2021

Last updated

Aug 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1467127779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 JUNEBERRY CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163284",
            "telephone_number": "704-562-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 JUNEBERRY CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163284",
            "telephone_number": "704-562-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "CAMERON",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Beats, R. PH.
• Beatties Ford Road Family Counseling Center
• Beatties Ford Road Vocational Trade Center (Beatties Ford Road Family Counseling Center)
• Beatty Medical Consulting, PC
• Tesia Beatty-Lloyd
• Felicia Beatty
• Judy Beatty, CRNA
• Michael Beatty, M.D.
• Rebecca Beatty, NCMHC, NCC
• Tony Ray Beatty, LCAS, CCS

• Contractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Contractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.