Janiah Venisha Beal

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT004223 Issued in GA

Practice address

16915 Highway 67
Statesboro, GA 30458-5819

Phone

(912) 681-2500

NPI assigned

Jul 15, 2022

Last updated

Jul 15, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1851025753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9034 WHISPERING PINES BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304589211",
            "telephone_number": "191-241-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 HIGHWAY 67",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585819",
            "telephone_number": "912-681-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "JANIAH",
        "middle_name": "VENISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT004223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shai Faith Barnes, RN
• Connie June Barnett, RN, MSN, APRN-BC
• Stacey Basquin, PAC
• Martha T Baynon, MT
• Jenna Raye Bazemore, DPT
• Melissa Beasley, NP
• Jordan Beaver
• Todd Roswell Becker, DPM
• Vicki W Beckum, CCC-SLP
• Emily Belson, LAT, ATC

• Athletic Trainer in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.