Active NPI
Georgia Physician Associates PC
- Specialist
- Braselton, GA
National Provider Identifier
1730517848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GEORGIA PHYSICIAN ASSOCIATES PC
- Practice address
- 5745 Old Winder Hwy
Suite C
Braselton, GA 30517-1636 - Phone
- (770) 450-6350
- NPI assigned
- Oct 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allen Beecham, MD
- Title
- Owner
- Phone
- (678) 245-6246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
5745 Old Winder Hwy
Suite C
Braselton, GA 30517-1636
Mailing address
2000 Village Professional Dr
Suite 200
Canton, GA 30114-8498
Phone (678) 661-4545
Other names 1
- SHEFA PAIN CONSULTANTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140102000068 | GA | Part B Supplier - Clinic/Group Practice | 9931337656 |
Receives reassigned benefits from 5 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Braselton, GA; Tucker, GA; Norcross, GA; Canton, GA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
5745 Old Winder Hwy
Braselton, GA 30517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1730517848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 VILLAGE PROFESSIONAL DR",
"address_2": "SUITE 200",
"city": "CANTON",
"state": "GA",
"postal_code": "301148498",
"telephone_number": "678-661-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5745 OLD WINDER HWY",
"address_2": "SUITE C",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305171636",
"telephone_number": "770-450-6350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA PHYSICIAN ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "BEECHAM",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-245-6246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SHEFA PAIN CONSULTANTS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.