Individual provider Active NPI

Sheena Dawn Beasley, FNP

  • Family Nurse Practitioner
  • Peachtree Corners, GA
National Provider Identifier
1710736533
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34898 Issued in TN
Practice address
4221 River Bottom Dr
Peachtree Corners, GA 30092-1377
Phone
(423) 778-7000
Fax
(678) 619-0041
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 34898 TN Primary

Addresses

Primary practice location

4221 River Bottom Dr
Peachtree Corners, GA 30092-1377

Mailing address

975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 778-8100

Other practice location 1

975 E 3rd St
Chattanooga, TN 37403-2173
Phone (423) 778-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250115000955 TN Practitioner - Nurse Practitioner 6608304811 Reassigns benefits to 1 organization
I20250316000059 GA Practitioner - Nurse Practitioner 6608304811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

141 N McLean Blvd
Memphis, TN 38104-2693
Phone (901) 276-2021

986 Orchard Way
Dalton, GA 30721-9758
Phone (706) 259-5483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34898TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Providers of America, LLC CurrentSince Aug 23, 2024 Accepting new patients

Locations

490 W Poplar Ave
Collierville, TN 38017
Phone (901) 844-1439

200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

860 Wolf Creek Trl
Abingdon, VA 24210
Phone (276) 276-6742

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1710736533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032173",
            "telephone_number": "423-778-8100",
            "fax_number": "423-778-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 RIVER BOTTOM DR",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300921377",
            "telephone_number": "423-778-7000",
            "fax_number": "678-619-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032173",
            "country_code": "US",
            "telephone_number": "423-778-8100",
            "fax_number": "423-778-7960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "SHEENA",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.