Grace S. Beaumont, MD
Individual provider Active NPI Family Medicine Physician · Saint James, MO
NPI 1700935459 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1700935459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 103254 (MO)
- Practice address
- 107 W Eldon St
Saint James, MO 65559-1903 - Phone
- (573) 265-1818
- Fax
- (573) 265-1810
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fordland Clinic, Inc.
Practice addresses (Care Compare)
11863 State Hwy 13
Suite 1
Kimberling City, MO 65686-8372
Phone 41776722732022
Hospital & facility affiliations
- Atlas Home Health and Therapy, LLC
- Cox Medical Center Branson
- Mercy Hospital Springfield
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719000628 | MO | Practitioner - Family Practice | 0547249906 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Family Medicine | Current |
Accepting new patients |
| Fordland Clinic, Inc. | Current |
Accepting new patients | |
| Fordland Clinic, Inc. | Current |
Accepting new patients | |
| Mercy Hospital Lebanon | Current | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1059 Barton Dr
Fordland, MO 65652
Phone (417) 767-2100
11863 State Highway 13
Ste 1
Kimberling City, MO 65686
Phone (417) 739-2520
100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400
1300 E Bradford Pkwy
Bldg B
Springfield, MO 65804
Phone (417) 269-5400
Interoperability endpoints
- gbeaumont@11ef84f8.micromddirect.com
- gbeaumont1162@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 103254 | MO | Yes |
Addresses
Primary practice location
107 W Eldon St
Saint James, MO 65559-1903
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other practice location 1
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 767-2273
Other practice location 2
11863 State Highway 13
Kimberling City, MO 65686-8362
Phone (417) 739-1995
Other practice location 3
1059 Barton Dr
Fordland, MO 65652-7350
Phone (417) 767-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208472100 | Medicaid | MO |
Other providers in Saint James, MO
- Aurea Ruple Bailey
- Roja Balakrishnan
- Brenna Barber
- Emily Skyler Barnes
- Debra Lynn Barraclough
- Allison Blacksher
- Rhonda S Blackwell-Althage
- Tiffany Gail Bland
- Jordyn Lynn Merchant Bolton
- Boys and Girls Town of Missouri
All providers in Saint James, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.