Individual provider Active NPI

Anna Beach, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1871244756
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009870RX Issued in OH
Practice address
150 Taylor Station Rd Ste 250
Columbus, OH 43213-4440
Phone
(614) 863-3222
Fax
(614) 863-4440
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.009870RX OH Primary

Addresses

Primary practice location

150 Taylor Station Rd Ste 250
Columbus, OH 43213-4440

Mailing address

PO Box 947977
Atlanta, GA 30394-7977
Phone (561) 948-0291

Other practice location 1

4617 Leap Ct # 250
Hilliard, OH 43026-1175
Phone (614) 863-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260519001271 OH Practitioner - Physician Assistant 0941779052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4700 Exchange CT
Suite 110
Boca Raton, FL 33431-4450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.009870RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of Columbus LLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

150 Taylor Station Rd
Ste 250
Columbus, OH 43213
Phone (614) 863-3222

4617 Leap Ct
Hilliard, OH 43026
Phone (614) 345-0500

4617 Leap Ct
#250
Hilliard, OH 43026
Phone (614) 863-3222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1871244756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947977",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947977",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TAYLOR STATION RD STE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134440",
            "telephone_number": "614-863-3222",
            "fax_number": "614-863-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4617 Leap Ct # 250",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430261175",
            "country_code": "US",
            "telephone_number": "614-863-3222",
            "fax_number": "614-863-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACH",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009870RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.