Active NPI
Gregory S Beale, M.D.
- Pulmonary Disease Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 027964
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00332934C | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101103000760 | GA | Practitioner - Pulmonary Disease | 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 IncSouth Georgia Medical Associates, PC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027964 | GA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Medical Associates, PC | Current | Accepting new patients | |
| South Georgia Medical Center Inc | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Current | Accepting new patients | |
| South Georgia Medical Center Inc | Current | 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
- 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.
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1306896253
GA
-
- Critical Access Hospital
- Lakeland, GA
- NPI 1215703632
-
- Nursing Facility/Intermediate Care Facility
- Lakeland, GA
- NPI 1396511713
-
- Psychiatric Hospital Unit
- Nashville, GA
- NPI 1497521801
-
- Rehabilitation Hospital Unit
- Valdosta, GA
- NPI 1598531907
-
- General Acute Care Hospital
- Nashville, GA
- NPI 1689440091
-
- Medicare Defined Swing Bed Hospital Unit
- Lakeland, GA
- NPI 1851167274
-
- Psychiatric Hospital Unit
- Valdosta, GA
- NPI 1033160791
-
- Emergency Medicine Physician
- Valdosta, GA
- NPI 1457648313
-
- General Acute Care Hospital
- Nashville, GA
- NPI 1063753689
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.