Active NPI
Christopher Michael Beaumont, PA-C
- Physician Assistant
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004075
- Practice address
- 220 Hovey Rd
Pensacola, FL 32508-1044 - Phone
- (850) 452-9484
- NPI assigned
- Jan 15, 2010
- Last updated
- Dec 3, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004075 | VA | Primary |
Addresses
Primary practice location
220 Hovey Rd
Pensacola, FL 32508-1044
Mailing address
220 Hovey Rd
Pensacola, FL 32508-1044
Phone (850) 452-9484
Other practice location 1
15 Pleasant Valley Rd
Sutton, MA 01590-2970
Phone (508) 426-9005
Other practice location 2
245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Pleasant Valley Rd
Sutton, MA 01590-2970
Phone (508) 426-9005
245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355
40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010
70 Gold Star Blvd
Worcester, MA 01606-2812
Phone (508) 426-9002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Branch Medical Clinic Ocs Brown Field | Past | Accepting new patients |
Locations
245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355
40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010
15 Pleasant Valley Rd
Sutton, MA 01590
Phone (508) 426-9005
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1790528628
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Quantico, VA
- NPI 1821281908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1841521853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HOVEY RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325081044",
"telephone_number": "850-452-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HOVEY RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325081044",
"telephone_number": "850-452-9484"
}
],
"practiceLocations": [
{
"address_1": "15 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Sutton",
"state": "MA",
"postal_code": "015902970",
"country_code": "US",
"telephone_number": "508-426-9005",
"fax_number": "508-426-8966",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Hartford Ave",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "MA",
"postal_code": "020193007",
"country_code": "US",
"telephone_number": "774-295-4355",
"fax_number": "774-295-4880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAUMONT",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-15",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.