Active NPI
Lee Alexander Beatty, MD
- Family Medicine Physician
- Mount Holly, NC
National Provider Identifier
1962422071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24346
- Practice address
- 215 S Main St
Mount Holly, NC 28120-1620 - Phone
- (704) 587-2400
- Fax
- (704) 587-2401
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24346 | NC | Primary |
Addresses
Primary practice location
215 S Main St
Mount Holly, NC 28120-1620
Mailing address
PO Box 601067
Charlotte, NC 28260-1067
Phone (704) 587-2400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14180 | Other | NC | NCBCBS |
| 8914180 | Medicaid | NC | |
| N24346 | Medicaid | SC | |
| 080119381 | Other | NC | RAILROAD MEDICARE |
| 1962422071 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24346 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1962422071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601067",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601067",
"telephone_number": "704-587-2400",
"fax_number": "704-587-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S MAIN ST",
"city": "MOUNT HOLLY",
"state": "NC",
"postal_code": "281201620",
"telephone_number": "704-587-2400",
"fax_number": "704-587-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "LEE",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "24346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBCBS",
"identifier": "14180",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8914180",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N24346",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080119381",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962422071",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Holly, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.