Active NPI
Robert W Beard, M.D
- Internal Medicine Physician
- Savannah, GA
National Provider Identifier
1831133495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23565
- Practice address
- 4451 Paulsen St
Savannah, GA 31405-3637 - Phone
- (912) 350-7500
- Fax
- (912) 350-7735
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23565 | GA | Primary |
Addresses
Primary practice location
4451 Paulsen St
Savannah, GA 31405-3637
Mailing address
4451 Paulsen St
Savannah, GA 31405-3637
Phone (912) 350-7500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349713 | Other | GA | WELLCARE |
| 110214649 | Other | GA | RR MEDICARE |
| 000241073E | Medicaid | GA | |
| 10063414 | Other | GA | AMERIGROUP |
| G23565 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23565 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPPG, Inc. | Internal Medicine | Current | Accepting new patients |
| MPPG, Inc. | Past | Accepting new patients |
Locations
4700 Waters Ave
#J
Savannah, GA 31404
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
4451 Paulsen St
Savannah, GA 31405
Phone (912) 350-7500
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.
-
- Physical Medicine & Rehabilitation Physician
- Savannah, GA
- NPI 1073680070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1831133495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4451 PAULSEN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053637",
"telephone_number": "912-350-7500",
"fax_number": "912-350-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4451 PAULSEN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053637",
"telephone_number": "912-350-7500",
"fax_number": "912-350-7735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "23565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "349713",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110214649",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000241073E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10063414",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G23565",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.