Individual provider Active NPI

James Beauliere Fercilien, PA-C

  • Physician Assistant
  • Athens, GA
National Provider Identifier
1942772777
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
195 King Ave
Athens, GA 30606-6736
Phone
(706) 549-8306
Fax
(706) 549-8351
NPI assigned
Dec 18, 2018
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 NU Primary

Addresses

Primary practice location

195 King Ave
Athens, GA 30606-6736

Mailing address

1357 Oconee Connector Bldg300
Watkinsville, GA 30677-7314
Phone (706) 549-8306

Other practice location 1

1856 Thompson Bridge Rd
Gainesville, GA 30501-1663
Phone (770) 535-1948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190613001244 GA Practitioner - Physician Assistant 7012240682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgical Associates of AthensGroup PAC ID 2668463290, 15 clinicians

Practice addresses (Care Compare)

1357 Oconee Connector
BLDG 300
Watkinsville, GA 30677-7314
Phone (706) 549-8306

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.37 of 100Reported as group
Quality
88.37
Promoting interoperability
100
Improvement activities
40
Cost
70.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Radiology Associates PC Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1942772777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 OCONEE CONNECTOR BLDG300",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777314",
            "telephone_number": "706-549-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066736",
            "telephone_number": "706-549-8306",
            "fax_number": "706-549-8351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1856 Thompson Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305011663",
            "country_code": "US",
            "telephone_number": "770-535-1948",
            "fax_number": "678-553-8152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERCILIEN",
        "first_name": "JAMES",
        "middle_name": "BEAULIERE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.