Individual provider Active NPI

Jessica Leigh Beattie, N.P.

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1811448970
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN214299 Issued in GA
Practice address
60 Oak Hill Blvd
Suite 201
Newnan, GA 30265-2314
Phone
(770) 400-8400
Fax
(770) 400-8401
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN214299 GA Primary

Addresses

Primary practice location

60 Oak Hill Blvd
Suite 201
Newnan, GA 30265-2314

Mailing address

60 Oak Hill Blvd
Suite 201
Newnan, GA 30265-2314
Phone (770) 400-8400

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
I20170726004131 GA Practitioner - Nurse Practitioner 1153691902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical and Cosmetic Dermatology, P. C.Group PAC ID 3678711199, 3 clinicians

Practice addresses (Care Compare)

1615 Hwy 34 E
Suite B
Newnan, GA 30265-1325
Phone (770) 400-8400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical & Cosmetic Dermatology, P. C. CurrentSince May 1, 2017 Accepting new patients

Locations

1075 Lafayette Pkwy
Ste 240
Lagrange, GA 30241
Phone (770) 400-8400

60 Oak Hill Blvd
Ste 201
Newnan, GA 30265
Phone (770) 253-8535

1615 Highway 34 E
Ste B
Newnan, GA 30265
Phone (770) 400-8400

Interoperability endpoints

  • Direct secure messaging: jbeattie@aadermaffiliates.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1811448970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 OAK HILL BLVD",
            "address_2": "SUITE 201",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652314",
            "telephone_number": "770-400-8400",
            "fax_number": "770-400-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OAK HILL BLVD",
            "address_2": "SUITE 201",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652314",
            "telephone_number": "770-400-8400",
            "fax_number": "770-400-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN214299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.