Jenna Beebe, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001015787 Issued in NC

Practice address

1405 Fern Creek Dr
Statesville, NC 28625-9376

Phone

(704) 659-7866

Fax

(877) 881-8455

NPI assigned

Jan 5, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Oncology Specialists PLLCGroup PAC ID 4082739560, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Southern Oncology Specialists, PLLC

  • Hematology & Oncology Physician
  • Huntersville, NC
  • NPI 1336455674
  Medicare reassignment Care Compare group NPD
• Southern Oncology Specialists, PLLC

  • Specialty Pharmacy
  • Huntersville, NC
  • NPI 1558879965
  NPD

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1780540682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LANGTREE SHORE DR APT 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-659-7866",
            "fax_number": "877-881-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Kincey Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786541",
            "country_code": "US",
            "telephone_number": "704-659-7850",
            "fax_number": "877-881-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEBE",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001015787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Dale Bartlett, OD
• Carl Lee Bass III, D.D.S.
• Be the Change Counseling and Consultation Services PLLC
• Beam & Chapman Inc
• Phillip Daniel Beaver, D.D.S.
• Beehive Community Services
• Behavioral Healthcare & Memory Institute
• Ann Elizabeth Bejcek, R.PH.
• Robert Belding-Miller, LMT
• Christina Marie Bellina, FNP-C

• Medical Physician Assistant in Statesville, NC
• Providers in Statesville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.