Individual provider Active NPI

Gregory S Beale, M.D.

  • Pulmonary Disease Physician
  • Valdosta, GA
National Provider Identifier
1497782817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
027964 Issued in GA
Practice address
410 Connell Rd
Valdosta, GA 31602-1407
Phone
(229) 244-4720
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 027964 GA Primary

Addresses

Primary practice location

410 Connell Rd
Valdosta, GA 31602-1407

Mailing address

410 Connell Rd
Valdosta, GA 31602-1407
Phone (229) 244-4720

Other identifiers 1

IdentifierTypeStateIssuer
00332934CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20101103000760 GA Practitioner - Pulmonary DiseasePractitioner - Cardiovascular Disease (Cardiology) 3870674435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Kentucky College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians
South Georgia Medical Associates, PCGroup PAC ID 4385601798, 5 clinicians

Practice addresses (Care Compare)

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 259-4291

410 Connell Rd
Valdosta, GA 31602-1898
Phone 2292444720102

Hospital & facility affiliations

  • SGMC Health Hospital, Valdosta, GA, CCN 110122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027964GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Medical Associates, PC CurrentSince Jan 1, 1998 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Jan 1, 1998 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Jan 1, 1998 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Past Accepting new patients

Locations

116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440

2330 N Ashley St
Valdosta, GA 31602
Phone (229) 249-5080

410 Connell Rd
Valdosta, GA 31602
Phone (229) 244-1570

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

604 E Park Ave
Valdosta, GA 31602
Phone (229) 333-0277

Interoperability endpoints

  • Direct secure messaging: gregory.beale@sgma.directbygreenway.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497782817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CONNELL RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021407",
            "telephone_number": "229-244-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CONNELL RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021407",
            "telephone_number": "229-244-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALE",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "027964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00332934C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.