Jason D. Beaver, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

21102 Issued in AL

Practice address

2800 Ross Clark Cir Ste 2
Dothan, AL 36301-9917

Phone

(334) 305-1848

Fax

(334) 305-1849

NPI assigned

Jun 15, 2005

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

General Surgery

Education

University of Florida College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

94.3

Improvement activities

40

Cost

81.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jason D. Beaver, MD LLC

  • Surgery Physician
  • Dothan, AL
  • NPI 1497409775
  Medicare reassignment NPD Authorized official
• Wiregrass Clinic LLC

  • Neurological Surgery Physician
  • Dothan, AL
  • NPI 1558657890
  Medicare reassignment NPD
• Dothan Surgical Services, LLC

  • Surgery Physician
  • Dothan, AL
  • NPI 1932497393
  NPD (past) Authorized official
• Harrison Hma, Inc.

  dba Gulf Coast Medical Center

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1114965449
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1740285931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363019917",
            "telephone_number": "334-305-1848",
            "fax_number": "334-305-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363019917",
            "telephone_number": "334-305-1848",
            "fax_number": "334-305-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "JASON",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "21102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BCBS # FOR OFFICE #2",
            "identifier": "051518009",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BCBS # FOR OFFICE #1",
            "identifier": "051518010",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131066",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936495",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry E Beauchamp Jr., ED.S., LMFT
• Rodney K Beauchamp, M.D.
• Beautiful Begginnings LLC
• Beautifulbeginningsllc
• Catherine Elaine Beaver, CRNA
• Beck Behavior Therapy and Consultation
• Kelli Michelle Beck, BCBA, LBA
• William W Beckett Jr., MD
• Russell Lee Bedsole, M.D.
• Behavioral Momentum LLC

• Surgery Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.

Verify at the official NPI Registry.