Deanna Beasley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

34610 Issued in TN

Practice address

1720 E Reelfoot Ave Ste 200
Union City, TN 38261-6049

Phone

(901) 350-0978

Fax

(901) 350-0677

NPI assigned

Oct 10, 2023

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

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Southern Pain and Regenerative Medicine PCGroup PAC ID 2769733377, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17574/brand/1/csg/1/fhir/r4
• Direct secure messaging: deanna.beasley.1@17574.direct.athenahealth.com

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.

• Southern Pain and Regenerative Medicine PC

  • Interventional Pain Medicine Physician
  • Olive Branch, MS
  • NPI 1841799707

  Family, TN

  Medicare reassignment Care Compare group NPD
• Bluff City Pain, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Memphis, TN
  • NPI 1790651263
  NPD
• Southern Pain and Regenerative Medicine PC

  • Interventional Pain Medicine Physician
  • Union City, TN
  • NPI 1659855252
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1902687692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE STE 200",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616049",
            "telephone_number": "901-350-0978",
            "fax_number": "901-350-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE STE 200",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616049",
            "telephone_number": "901-350-0978",
            "fax_number": "901-350-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5683 S Rex Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193821",
            "country_code": "US",
            "telephone_number": "901-350-0678",
            "fax_number": "901-350-0677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3922 E Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Blytheville",
            "state": "AR",
            "postal_code": "723156813",
            "country_code": "US",
            "telephone_number": "901-350-0978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "DEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James T Batey, MD
• Heather Bavido, MS CCC-SLP
• Steven Ray Beachum, D.C.
• Kennedy Basham Beal
• Bonnie Beale, DPH
• Alissa S Bennett
• Edna M Black
• Marvin Asbury Blanton III, MD
• James Dylan Bondurant, O.D.
• Boyce Randall Leduke DDS

• Family Nurse Practitioner in Union City, TN
• Providers in Union City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.

Verify at the official NPI Registry.