Beulah Grove Community Resource Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BEULAH GROVE COMMUNITY RESOURCE CENTER

Doing business as

Lamar Medical Center

Practice address

1448 Lee Beard Way
Augusta, GA 30901-3414

Phone

(706) 828-7468

Fax

(706) 724-7566

NPI assigned

Dec 12, 2007

Last updated

Feb 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Callaway

Title

Manager

Phone

(706) 722-4999

Specialties & licenses 1

Addresses

Other names 1

• Lamar Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 11

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.

• Calvin R Jackson

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1740398338
  Medicare reassignment Care Compare group NPD
• Gladys Johnson - Ramsey, LPC

  • Mental Health Counselor
  • Augusta, GA
  • NPI 1952761272
  Medicare reassignment Care Compare group NPD
• Samantha N Mitchell, MD

  • Family Medicine Physician
  • Augusta, GA
  • NPI 1609444959
  Medicare reassignment Care Compare group NPD
• Ebony B Whisenant, M.D.

  • Family Medicine Physician
  • Augusta, GA
  • NPI 1891957353
  Medicare reassignment Care Compare group NPD
• Patricia Williams Duncan, RN

  • Family Nurse Practitioner
  • Augusta, GA
  • NPI 1265520050
  Medicare reassignment NPD
• Willie Joseph Hillson, M.D.

  • Specialist
  • Augusta, GA
  • NPI 1366481723
  Medicare reassignment NPD
• Mallory Andrew Lawrence, M.D.

  • Colon & Rectal Surgery Physician
  • Augusta, GA
  • NPI 1790868065
  Medicare reassignment NPD
• Linda Joyce McGarr, APRN, FNP-BC

  • Registered Nurse
  • Augusta, GA
  • NPI 1437327186
  Medicare reassignment NPD
• Benjamin Lavar Rucker Jr., MD

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1255435525
  Medicare reassignment NPD
• Maria Black Rivers, M.D.

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1154432623
  NPD
• Adrian Shantay Nobles, FNP-C

  • Family Nurse Practitioner
  • Augusta, GA
  • NPI 1780509620
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1558544684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 LEE BEARD WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013414",
            "telephone_number": "706-828-7468",
            "fax_number": "706-724-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 LEE BEARD WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013414",
            "telephone_number": "706-828-7468",
            "fax_number": "706-724-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH GROVE COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-722-4999"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamar Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Besch, MD, MHS
• Conner Best
• Monique Lilmarcia Bethel, M.D.
• Eugene Kohler Betts, MD
• Betty Saxon Elder Care
• Beveridge Medical Associates, LLC
• Madison Jenelle Beverly, MD
• Anthony Bhansali, DMD
• Keerti Kantilal Bhanushali, M.D.
• Aminta Bhatia, PA

• Primary Care Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.