NPIMap

Organization Active NPI

Beach Medical LLC

  • Clinic/Center
  • Tybee Island, GA
National Provider Identifier
1932261740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
083786 Issued in GA
Legal business name
BEACH MEDICAL LLC
Practice address
602 First St
Tybee Island, GA 31328
Phone
(912) 786-9986
Fax
(912) 786-9987
NPI assigned
Dec 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent Greico, M.D.
Title
Provider
Phone
(912) 786-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 083786 GA Primary

Addresses

Primary practice location

602 First St
Tybee Island, GA 31328

Mailing address

PO Box 1392
Tybee Island, GA 31328-1392
Phone (912) 786-9986

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932261740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1392",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "313281392",
            "telephone_number": "912-786-9986",
            "fax_number": "912-786-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 FIRST ST",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "31328",
            "telephone_number": "912-786-9986",
            "fax_number": "912-786-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREICO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "912-786-9986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "083786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tybee Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.