Phillip L. Beaulieu Jr., M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

45139 Issued in TN

Practice address

310 25TH Ave N Ste 203
Nashville, TN 37203-1593

Phone

(615) 815-1560

Fax

(615) 610-1199

NPI assigned

Nov 14, 2006

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology, Interventional Pain Management

Education

University of Tennessee, HSC, College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.45 of 100Reported as individual

Quality

87.97

Promoting interoperability

96

Improvement activities

40

Cost

86.85

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26183/brand/1/csg/1/fhir/r4
• Direct secure messaging: phillip.beaulieu.1@26183.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Spine and Pain PLLC

  • Pain Medicine Physician
  • Nashville, TN
  • NPI 1689316309

  Anesthesiology

  Medicare reassignment NPD Authorized official
• Integrative Pain Solutions PLLC

  • Specialist
  • Franklin, TN
  • NPI 1356574552
  NPD (past)
• Nashville Bone and Joint PLLC

  • Orthopaedic Surgery Physician
  • Hermitage, TN
  • NPI 1104815430
  NPD (past)
• Advanced Pain Management SC

  • Pain Medicine Physician
  • Greenfield, WI
  • NPI 1770506669
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1952473431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB #382",
            "address_2": "5133 HARDING PIKE, B-10",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052891",
            "telephone_number": "615-815-1560",
            "fax_number": "615-610-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031593",
            "telephone_number": "615-815-1560",
            "fax_number": "615-610-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "PHILLIP",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "45139",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "45139",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "45139",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "45139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516715",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaeden Beaty, MD
• Jordan Robert Beaty, MSN, CPNP-AC
• William S Beaty, MD
• Gregory Beauchamp, D.C.
• Derek Beaudoin, AUD
• Lane Douglass Beaumont, NNP
• Shari Lee Beauregard, MSN,RN,ANP-BC,ACHPN
• Beautiful Beginnings Counseling Services, PLLC
• David Lynn Beavers, MD, PH.D
• Lisa Ann Beavers, PHD, LPC,, MHSP

• Pain Medicine (Anesthesiology) Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Pain Medicine (Anesthesiology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.