Beacon Healthcare Associates, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BEACON HEALTHCARE ASSOCIATES, PLLC

Practice address

5266 Old Hwy 11
Suite 50 PMB 158
Hattiesburg, MS 39402

Phone

(601) 909-8006

NPI assigned

Sep 27, 2021

Last updated

Oct 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marquita TuckerNPI 1356823074

Title

Manager

Phone

(601) 909-8006

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marquita Tucker, NP

  • Family Nurse Practitioner
  • Columbia, MS
  • NPI 1356823074
  NPD Authorized official

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1902577174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 OLD HWY 11",
            "address_2": "SUITE 50 PMB 158",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-909-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 OLD HWY 11",
            "address_2": "SUITE 50 PMB 158",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-909-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTHCARE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-909-8006"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank G Baugh
• Gina L Beach, SLPD, CCC-SLP
• Jorai Beach
• Maria Beach, CMHT
• Beacon Behavioral Health - Southern Mississippi
• Jerry Stephen Beam, M.D.
• Stephanie Anne Beasey, LM, CLT, MLDC
• Annie Beaugh, DPT
• Jennifer Beckham, PHARMD
• Lauren Brewer Beckman, AGPCNP

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.