Individual provider Active NPI

Beau Edwin Thigpen, D.C.,B.C.A.O.

  • Chiropractor
  • Augusta, GA
National Provider Identifier
1609913698
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007914 Issued in GA
Practice address
3665 Wheeler Rd
Suite 2a
Augusta, GA 30909-6603
Phone
(706) 860-8717
Fax
(706) 860-1341
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007914 GA Primary

Addresses

Primary practice location

3665 Wheeler Rd
Suite 2a
Augusta, GA 30909-6603

Mailing address

3665 Wheeler Rd
Suite 2a
Augusta, GA 30909-6603
Phone (706) 860-8717

Other practice location 1

3520 Walton Way Ext Ste 1A
Augusta, GA 30909-6591
Phone (706) 917-3169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000287 GA Practitioner - Chiropractic 7810917002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thigpen Chiropractic, LLCGroup PAC ID 1850796103, 5 clinicians

Practice addresses (Care Compare)

3520 Walton Way Ext
Suite 1a
Augusta, GA 30909-6591
Phone (706) 917-3169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thigpen Chiropractic, LLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Boutwell Chiropractic Group PC Chiropractor CurrentSince Oct 11, 2005 Accepting new patients

Locations

3520 Walton Way Ext
Ste 1A
Augusta, GA 30909
Phone (404) 394-2191

3665 Wheeler Rd
Ste 2A
Augusta, GA 30909
Phone (706) 860-8717

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1609913698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 WHEELER RD",
            "address_2": "SUITE 2A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096603",
            "telephone_number": "706-860-8717",
            "fax_number": "706-860-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 WHEELER RD",
            "address_2": "SUITE 2A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096603",
            "telephone_number": "706-860-8717",
            "fax_number": "706-860-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 Walton Way Ext Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096591",
            "country_code": "US",
            "telephone_number": "706-917-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIGPEN",
        "first_name": "BEAU",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.C.,B.C.A.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.