Organization Active NPI

Above & Beyond Healthcare Services, LLC

Doing business as Beyond Health Group

  • Primary Care Clinic/Center
  • Statesboro, GA
National Provider Identifier
1679032205
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ABOVE & BEYOND HEALTHCARE SERVICES, LLC
Doing business as
Beyond Health Group
Practice address
62 E Main St
Statesboro, GA 30458-4844
Phone
(912) 225-3220
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Nancy Hurlock, AGPCNP-BC
Title
Owner
Phone
(912) 225-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

62 E Main St
Statesboro, GA 30458-4844

Mailing address

430 Northside Dr E Ste 160
Statesboro, GA 30458-4758
Phone (912) 225-3220

Other identifiers 1

IdentifierTypeStateIssuer
1245729300OtherGANPI

Other names 1

  • Beyond Health Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nancy.hurlock@beyondhealthgroup.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190528002372 GA Part B Supplier - Clinic/Group Practice 5092058453 Receives reassigned benefits from 1 practitioner
Practice locations: Statesboro, GA

National Provider Directory

National Provider Directory

Locations

62 E Main St
Statesboro, GA 30458
Phone (912) 225-3220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1679032205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NORTHSIDE DR E STE 160",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584758",
            "telephone_number": "912-225-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E MAIN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584844",
            "telephone_number": "912-225-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE & BEYOND HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "HURLOCK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-225-3220",
        "authorized_official_credential": "AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245729300",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy.hurlock@beyondhealthgroup.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "430 Northside Dr E Ste 160",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304584758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beyond Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.