Individual provider Active NPI

Virgil Emmitt Beall, MD

  • Anesthesiology Physician
  • Gainesville, GA
National Provider Identifier
1720010978
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
034293 Issued in GA
Practice address
1240 Jesse Jewell Pkwy SE
Suite 250
Gainesville, GA 30501-3862
Phone
(770) 217-5111
NPI assigned
Jul 7, 2006
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 034293 GA Primary

Addresses

Primary practice location

1240 Jesse Jewell Pkwy SE
Suite 250
Gainesville, GA 30501-3862

Mailing address

PO Box 768
Alpharetta, GA 30009-0768
Phone (770) 217-5111

Other identifiers 1

IdentifierTypeStateIssuer
000465065AAMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090609000326 GA Practitioner - Anesthesiology 2860486081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambulatory Anesthesia Consultants, PCGroup PAC ID 4486648698, 3 clinicians

Practice addresses (Care Compare)

318 Tribble Gap Rd
Cumming, GA 30040-2440
Phone (770) 886-5038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Consultants, PC Anesthesiology CurrentSince Aug 15, 2002 Accepting new patients
Advanced Anesthesia Corporation Anesthesiology Past Accepting new patients
Parkway Anesthesia Consultants, PC Anesthesiology Past Accepting new patients
Integrity Anesthesia P.C. Past Accepting new patients

Locations

318 Tribble Gap Rd
Cumming, GA 30040
Phone (770) 889-0891

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

64 Mountain Dr
Dahlonega, GA 30533
Phone (404) 851-2300

1296 Sims St
Ste B
Gainesville, GA 30501
Phone (770) 534-1856

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, 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1720010978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300090768",
            "telephone_number": "770-217-5111",
            "fax_number": "800-410-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 250",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013862",
            "telephone_number": "770-217-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALL",
        "first_name": "VIRGIL",
        "middle_name": "EMMITT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "034293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000465065AA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.