Individual provider Active NPI

Ronald G Beebe, MD

  • Allergy & Immunology Physician
  • Gainesville, GA
National Provider Identifier
1760445852
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
030006 Issued in GA
Practice address
950 S Enota Dr NE
Gainesville, GA 30501
Phone
(770) 536-0470
Fax
(770) 536-3031
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 030006 GA Primary

Addresses

Primary practice location

950 S Enota Dr NE
Gainesville, GA 30501

Mailing address

950 S Enota Dr NE
Gainesville, GA 30501-2413
Phone (770) 536-0470

Other practice location 1

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 536-0470

Other identifiers 14

IdentifierTypeStateIssuer
000353075LMedicaidGA
000353075NMedicaidGA
000353075JMedicaidGA
52029274OtherGABCBS
000353075IMedicaidGA
000353075KMedicaidGA
P00897212OtherGARAILROAD MEDICARE
0811620OtherGACIGNA
584715OtherGAWELLCARE OF GEORGIA
D44835OtherGAMEDICARE
01389421OtherGAAMERIGROUP
000353075MMedicaidGA
1246699OtherGACOVENTRY
584715OtherGAWELLCARE

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
I20101029000595 GA Practitioner - Allergy/Immunology 7911191390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Allergy and Asthma Clinic PAGroup PAC ID 1254372006, 42 clinicians

Practice addresses (Care Compare)

950 S Enota Dr NE
Suite a
Gainesville, GA 30501-2439
Phone (770) 536-0470

Hospital & facility affiliations

  • Pruitthealth at Home - Gainesville Home health agency, Gainesville, GA, CCN 117129
  • Northeast Georgia Home Health Home health agency, Gainesville, GA, CCN 117156
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Willowbrooke Court at Lanier Village Estates Nursing home, Gainesville, GA, CCN 115687

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Better Allergy Asthma & Sinus Center, Inc Allergy & Immunology CurrentSince Jan 1, 2019 Accepting new patients
Atlanta Allergy & Asthma Clinic PA Allergy & Immunology CurrentSince Jun 29, 2023 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 800
Atlanta, GA 30309
Phone (404) 351-5711

2300 Henderson Mill Rd NE
Ste 230
Atlanta, GA 30345
Phone (770) 491-9300

1620 Mulkey Rd
Ste 100
Austell, GA 30106
Phone (770) 948-3774

100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000

2089 Teron Trce
Ste 250
Dacula, GA 30019
Phone (678) 801-4838

4645 Timber Ridge Dr
Ste 160
Douglasville, GA 30135
Phone (678) 434-0374

1240 Highway 54 W
Ste 310
Fayetteville, GA 30214
Phone (770) 461-6400

950 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 536-0470

950 S Enota Dr NE
Ste A
Gainesville, GA 30501
Phone (678) 450-8969

6300 Hospital Pkwy
Ste 250
Johns Creek, GA 30097
Phone (770) 495-6258

114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723

600 Professional Dr
Ste 210
Lawrenceville, GA 30046
Phone (770) 963-8030

1121 Johnson Ferry Rd
Bldg 1
Marietta, GA 30068
Phone (678) 718-2940

790 Church St NE
Ste 150
Marietta, GA 30060
Phone (770) 422-4268

1121 Johnson Ferry Rd
Ste 300
Marietta, GA 30068
Phone (770) 973-5252

1519 Johnson Ferry Rd
Ste 200
Marietta, GA 30062
Phone (770) 973-5578

14 Riverbend Dr SW
Rome, GA 30161
Phone (706) 234-0094

1357 Hembree Rd
Ste 200
Roswell, GA 30076
Phone (770) 475-0807

800 Mount Vernon Hwy NE
Ste 390
Sandy Springs, GA 30328
Phone (404) 252-4207

1600 Medical Way
Ste 200
Snellville, GA 30078
Phone (770) 979-7466

1780 Presidential Cir
#200
Snellville, GA 30078
Phone (678) 280-0202

830 Eagles Landing Pkwy
Ste 203
Stockbridge, GA 30281
Phone (478) 746-2888

1272 Virgil Langford Rd
Ste 202
Watkinsville, GA 30677
Phone (770) 880-6955

100 Stoneforest Dr
Ste 220
Woodstock, GA 30189
Phone (770) 924-0096

Interoperability endpoints

  • Direct secure messaging: ronald.beebe.p1@direct.actslife.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1760445852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012413",
            "telephone_number": "770-536-0470",
            "fax_number": "770-536-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-536-0470",
            "fax_number": "770-536-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Jesse Jewell Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013834",
            "country_code": "US",
            "telephone_number": "770-536-0470",
            "fax_number": "770-536-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEBE",
        "first_name": "RONALD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "030006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000353075L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000353075N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000353075J",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52029274",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000353075I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000353075K",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00897212",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0811620",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF GEORGIA",
            "identifier": "584715",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D44835",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01389421",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000353075M",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "1246699",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "584715",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.