Individual provider Active NPI

George Lemuel Beale, MD FACC

  • Internal Medicine Physician
  • Ashland, AL
National Provider Identifier
1487635843
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12035 Issued in AL
Practice address
83430 Hwy 9
Ashland, AL 36251
Phone
(256) 354-2101
Fax
(256) 354-2109
NPI assigned
Nov 10, 2005
Last updated
Oct 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12035 AL Primary
Cardiovascular Disease Physician 207RC0000X 12035 AL
General Practice Physician 208D00000X 12035 AL

Addresses

Primary practice location

83430 Hwy 9
Ashland, AL 36251

Mailing address

PO Box 398
Ashland, AL 36251-0398
Phone (256) 354-2101

Other identifiers 1

IdentifierTypeStateIssuer
000014915MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000176 AL Practitioner - General PracticePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476680596 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12035ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Healthcare Authority CurrentSince Feb 12, 2013 Accepting new patients
Clay County Healthcare Authority Current Accepting new patients
Clay County Healthcare Authority CurrentSince Feb 12, 2013 Accepting new patients
Ashland Clinic Inc Internal Medicine CurrentSince May 1, 1994 Accepting new patients
Fischer Family Medicine P.C. Past Accepting new patients
Mohammad Kamran Cardiovascular Disease Past Accepting new patients

Locations

83430 Highway 9
Ashland, AL 36251
Phone (256) 354-2101

83745 Highway 9
Ashland, AL 36251
Phone (256) 354-2010

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Clay CountyAshland, AL, CCN 011538 Hospice Corporate Officer Nov 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1487635843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "362510398",
            "telephone_number": "256-354-2101",
            "fax_number": "256-354-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83430 HWY 9",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "36251",
            "telephone_number": "256-354-2101",
            "fax_number": "256-354-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALE",
        "first_name": "GEORGE",
        "middle_name": "LEMUEL",
        "name_prefix": "Dr.",
        "credential": "MD FACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "12035",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "12035",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "12035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000014915",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, AL

Sources for this page

Verify at the official NPI Registry.