Active NPI
James Eugene Beckham III, JEB BECKHAM M.D.
- Anesthesiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 058440
- Practice address
- 3210 Reserve Dr
Atlanta, GA 30319-3030 - Phone
- (404) 271-9397
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 058440 | GA | Primary |
Addresses
Primary practice location
3210 Reserve Dr
Atlanta, GA 30319-3030
Mailing address
3210 Reserve Dr
Atlanta, GA 30319-3030
Phone (404) 271-9397
Other names 1
- Jeb Eugene Beckham
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Mercer University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9220
Hospital & facility affiliations
- University Health System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058440 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesiologists, PLLC | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220
1924 Alcoa Hwy
#U189
Knoxville, TN 37920
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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710109673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 RESERVE DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303193030",
"telephone_number": "404-271-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 RESERVE DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303193030",
"telephone_number": "404-271-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKHAM",
"first_name": "JAMES",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "JEB BECKHAM M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "058440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEB",
"last_name": "BECKHAM",
"middle_name": "EUGENE",
"credential": "JEB BECKHAM M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.