Beveridge Medical Associates, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

020405 Issued in GA

Legal business name

BEVERIDGE MEDICAL ASSOCIATES, LLC

Practice address

818 Saint Sebastian Way
Suite 408
Augusta, GA 30901-2651

Phone

(706) 774-0478

Fax

(706) 774-0876

NPI assigned

Dec 11, 2007

Last updated

Dec 9, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

WAYNE D. BEVERIDGE, MDAs reported in NPPES

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

Authorized official

Name

Wayne D Beveridge, MD

Title

Physician

Phone

(706) 774-0478

Specialties & licenses 1

Addresses

Part of

Beveridge Medical Assoc LLC

Locations

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1912180134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 408",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012651",
            "telephone_number": "706-774-0478",
            "fax_number": "706-774-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 408",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012651",
            "telephone_number": "706-774-0478",
            "fax_number": "706-774-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERIDGE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE D. BEVERIDGE, MD",
        "enumeration_date": "2007-12-11",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "BEVERIDGE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-774-0478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "020405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conner Best
• Monique Lilmarcia Bethel, M.D.
• Eugene Kohler Betts, MD
• Betty Saxon Elder Care
• Beulah Grove Community Resource Center (Lamar Medical Center)
• Madison Jenelle Beverly, MD
• Anthony Bhansali, DMD
• Keerti Kantilal Bhanushali, M.D.
• Aminta Bhatia, PA
• Anah Bhatia, NP

• Neurological Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.