Individual provider Active NPI

Erikaa Lauren Beall, PA

  • Physician Assistant
  • Conyers, GA
National Provider Identifier
1720376924
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2125 Issued in GA
Practice address
1301 Sigman Rd NE
Suite 130
Conyers, GA 30012-3812
Phone
(678) 609-4927
Fax
(678) 609-4928
NPI assigned
Jul 21, 2011
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 2125 GA Primary

Addresses

Primary practice location

1301 Sigman Rd NE
Suite 130
Conyers, GA 30012-3812

Mailing address

1301 Sigman Rd NE
Suite 130
Conyers, GA 30012-3812
Phone (678) 609-4927

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
I20110922000036 GA Practitioner - Physician Assistant 4486825502 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1006 Hillcrest Pkwy
Suite 1
Dublin, GA 31021-4259
Phone (578) 354-4240

1175 N Glynn St
Suite 140
Fayetteville, GA 30214-1390
Phone (770) 881-8886

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416
Phone (770) 502-2121

1825 Hwy 34 E 1200
Newnan, GA 30265-6416

1909 N Columbia St
Milledgeville, GA 31061-2170
Phone (478) 354-4250

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

35 Arbor Springs Ter
Newnan, GA 30265-4214
Phone (470) 323-5200

7301 Blackmon Rd
Columbus, GA 31909-4478
Phone (706) 383-0910

749 Lanier Ave W
Suite 1850
Fayetteville, GA 30214-7658
Phone (770) 835-4925

7990 Wells St
Suite 120
Senoia, GA 30276-2024
Phone (678) 535-0220

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2125GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jun 3, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 15, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 15, 2022 Accepting new patients
Piedmont Providers LLC PastSince Dec 10, 2018 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

Organizations & group practices 10

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1720376924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD NE",
            "address_2": "SUITE 130",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123812",
            "telephone_number": "678-609-4927",
            "fax_number": "678-609-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD NE",
            "address_2": "SUITE 130",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123812",
            "telephone_number": "678-609-4927",
            "fax_number": "678-609-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALL",
        "first_name": "ERIKAA",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.