NPIMap

Individual provider Active NPI

Jennifer Beatty, M.D.

  • Emergency Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1588043905
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2017-00682 Issued in NC
Practice address
1 Medical Center Blvd
Winston Salem, NC 27103
Phone
(336) 716-2011
NPI assigned
May 19, 2015
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2017-00682 NC Primary

Addresses

Primary practice location

1 Medical Center Blvd
Winston Salem, NC 27103

Mailing address

1 Medical Center Blvd
Winston Salem, NC 27103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170712003417 NC Practitioner - Emergency Medicine 6608184544 Reassigns benefits to 2 organizations
I20200825002684 VA Practitioner - Family Practice 6608184544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

329 Hwy 801 N
Bermuda Run, NC 27006
Phone (336) 716-2255

557 Brookdale Dr
Statesville, NC 28677-4107
Phone (336) 716-2255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.87 of 100Reported as group
Quality
95.04
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-00682NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jun 1, 2017 Accepting new patients
Wake Forest University Health Sciences Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Observation Physicians of Tidewater CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Sep 1, 2020 Accepting new patients
Wake Forest Emergency Providers CurrentSince Aug 27, 2019 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2020 Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients

Locations

329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1814 Westchester Dr
Ste 203C
High Point, NC 27262

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

Interoperability endpoints

  • Direct secure messaging: jbeatty2940376@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1588043905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-716-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2017-00682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.