NPIMap

Organization Active NPI

Georgia Physician Associates, PC

  • Specialist
  • Canton, GA
National Provider Identifier
1528496353
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GEORGIA PHYSICIAN ASSOCIATES, PC
Practice address
2000 Village Professional Dr
Suite 200
Canton, GA 30114-8498
Phone
(678) 661-4545
NPI assigned
Oct 14, 2013
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Allen R BeechamNPI 1578594057
Title
Owner
Phone
(678) 245-6246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

2000 Village Professional Dr
Suite 200
Canton, GA 30114-8498

Mailing address

2000 Village Professional Dr
Suite 200
Canton, GA 30114-8498
Phone (678) 661-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140102000068 GA Part B Supplier - Clinic/Group Practice 9931337656 Receives reassigned benefits from 5 practitioners
4 other NPIs on this enrollment
Practice locations: Braselton, GA; Tucker, GA; Norcross, GA; Canton, GA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2071532Georgia Physician Associates, PC2000 Village Professional Drive, Ste 200, Canton, GA 30114AccreditationMar 24, 2028

National Provider Directory

National Provider Directory

Locations

5745 Old Winder Hwy
Ste C
Braselton, GA 30517
Phone (770) 450-6350

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1528496353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VILLAGE PROFESSIONAL DR",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148498",
            "telephone_number": "678-661-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VILLAGE PROFESSIONAL DR",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148498",
            "telephone_number": "678-661-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PHYSICIAN ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BEECHAM",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-245-6246",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.