Individual provider Active NPI

David Brian Beck, FNP, NP-C

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1659619161
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17325 Issued in TN
Practice address
1222 Trotwood Ave Ste 503
Columbia, TN 38401-6422
Phone
(931) 490-7775
Fax
(931) 490-7797
NPI assigned
Jan 18, 2013
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17325 TN Primary

Addresses

Primary practice location

1222 Trotwood Ave Ste 503
Columbia, TN 38401-6422

Mailing address

854 W James Campbell Blvd
Columbia, TN 38401-4659
Phone (931) 490-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130322000154 TN Practitioner - Nurse Practitioner 2264677277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1222 Trotwood Ave
Suite 503
Columbia, TN 38401-6422
Phone (931) 490-7775

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17325TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 9, 2013 Accepting new patients
Family Health Group Inc CurrentSince Jun 15, 2014 Accepting new patients
Maury Regional Medical Group, Inc Family Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 9, 2013 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Jun 15, 2014 Accepting new patients
Maury Regional Hospital Marshall Medical Center Past Accepting new patients

Locations

1222 Trotwood Ave
Ste 108
Columbia, TN 38401
Phone (931) 380-4066

1222 Trotwood Ave
Ste 503
Columbia, TN 38401
Phone (931) 380-9166

1222 Trotwood Ave
Ste 603
Columbia, TN 38401
Phone (931) 381-3872

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

543 E Main St
Hohenwald, TN 38462
Phone (931) 295-3547

129 N Locust Ave
#A
Lawrenceburg, TN 38464
Phone (931) 242-4385

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Organizations & group practices 6

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 4

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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1659619161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-490-7775",
            "fax_number": "931-490-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 503",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016422",
            "telephone_number": "931-490-7775",
            "fax_number": "931-490-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "credential": "FNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.