Individual provider Active NPI

Beth Respess, PA

  • Physician Assistant
  • Brunswick, GA
National Provider Identifier
1710038682
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001575 Issued in GA
Practice address
208 Scranton Connector
Suite 117
Brunswick, GA 31525-0559
Phone
(912) 264-5961
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001575 GA Primary

Addresses

Primary practice location

208 Scranton Connector
Suite 117
Brunswick, GA 31525-0559

Mailing address

208 Scranton Connector
Suite 117
Brunswick, GA 31525-0559
Phone (912) 264-5961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20060309000232 GA Practitioner - Physician Assistant 5597772970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Hypertension Medical Associates PCGroup PAC ID 0244227130, 19 clinicians

Practice addresses (Care Compare)

3025 Shrine Rd
Suite 450
Brunswick, GA 31520-4787
Phone (912) 264-6133

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001575GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology and Hypertension Medical Associates PC CurrentSince Jan 1, 2019 Accepting new patients
Marshes Medical Diagnostic Clinic, PC Current Accepting new patients
Nephrology and Hypertension Medical Associates PC CurrentSince Jan 1, 2019 Accepting new patients
Brunswick Urgent Care, LLC PastSince Apr 20, 2019 Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

539 Fair St
Baxley, GA 31513
Phone (912) 366-0202

3150 Glynn Ave
Brunswick, GA 31520
Phone (912) 261-4997

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 450
Brunswick, GA 31520
Phone (912) 264-4613

475 Gateway Center Blvd
Brunswick, GA 31525
Phone (912) 265-0533

53 Scranton Connector
Brunswick, GA 31525
Phone (912) 264-8657

2930 Springdale Rd
Brunswick, GA 31520
Phone (912) 267-1507

2377 Highway 196 W
Hinesville, GA 31313
Phone (912) 368-2710

111 Colonial Way
Ste 2
Jesup, GA 31545
Phone (912) 588-1919

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

1115 Lexington Ave
Savannah, GA 31404
Phone (912) 354-4813

301 N Pine St
Springfield, GA 31329
Phone (912) 754-6098

308 Carswell Ave
Waycross, GA 31501
Phone (912) 285-1663

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1710038682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR",
            "address_2": "SUITE 117",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250559",
            "telephone_number": "912-264-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR",
            "address_2": "SUITE 117",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250559",
            "telephone_number": "912-264-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESPESS",
        "first_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "001575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.