BEACON HEALTHCARE, INC. (NPI# 1508312521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508312521 |
| Entity Type | Organization |
| Organization Name | BEACON HEALTHCARE, INC. |
| Practice Address |
1718 Peachtree St Nw Suite 360 Atlanta GA 30309-2452 |
| Mailing Address |
Po Box 54157 Atlanta GA 30308-0157 |
| Practice Telephone | 7702705229 |
| Practice Fax Number | 7702709323 |
| Mailing Telephone | 7702705229 |
| Mailing Fax Number | 7702709323 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | LAVERNE POINDEXTER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7702705229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
1718 PEACHTREE ST NW SUITE 360 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295723005 | James Milton Poindexter Jr. | Surgery | 1718 Peachtree St Nw, Suite 360, Atlanta, GA 30309-2452 | 2005-10-06 |
| 1740687581 | Gathering Precious Stones, LLC | Counselor | 1718 Peachtree St Nw, Suite 481, Atlanta, GA 30309-2452 | 2014-11-21 |
| 1841696051 | The Premier Healthcare Network, LLC | Internal Medicine | 1718 Peachtree St Nw, Suite 360, Atlanta, GA 30309-2452 | 2014-11-16 |
| 1346643715 | Sage Psychological Consulting, LLC | Community/Behavioral Health | 1718 Peachtree St Nw, Suite 481, Atlanta, GA 30309-2452 | 2014-09-30 |
| 1073957437 | Constance Dawn Hay Lee | Counselor | 1718 Peachtree St Nw, South Tower. Suite 481, Atlanta, GA 30309-2452 | 2013-04-29 |
| 1811264088 | Gathering Precious Stones, LLC | Preferred Provider Organization | 1718 Peachtree St Nw, Suite 481 S.tower, Atlanta, GA 30309-2452 | 2011-11-16 |
| 1134443054 | Marquitha S Mayfield | Physician Assistant | 1718 Peachtree St Nw, Atlanta, GA 30309-2452 | 2010-03-22 |
| 1407091499 | Walaya Chiyem Methodius-rayford | Surgery | 1718 Peachtree St Nw, Suite 360, Atlanta, GA 30309-2452 | 2008-12-05 |
| 1134364342 | Funmilayo Carter Rachal | Psychiatry & Neurology | 1718 Peachtree St Nw, Suite 265, Atlanta, GA 30309-2452 | 2008-12-03 |
| 1174783476 | Frances G Mathis | Registered Nurse | 1718 Peachtree St Nw, Suite 360, Atlanta, GA 30309-2452 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948263 | Jacqueline Swanson | Driver | 703 N Hill Pkwy, Atlanta, GA 30341-1255 | 2020-07-06 |
| 1669012266 | Regina Marie Land | Driver | 1809 Laurel Green Way, Atlanta, GA 30344-8215 | 2020-01-10 |
| 1316586027 | Rahiem Buford | Driver | 1537 Ralph David Abernathy Blvd Sw Apt D201, Atlanta, GA 30310-1271 | 2019-12-27 |
| 1255851549 | Sharegan Rainey | Driver | 4751 Best Rd Ste 300, Atlanta, GA 30337-5600 | 2017-06-27 |
| 1487192860 | Erica Willis | Driver | 2890 Mango Cir Nw, Atlanta, GA 30318-3839 | 2017-02-07 |
| 1902357593 | Yolanda Martin | Driver | 394 Hillside Dr Sw, Atlanta, GA 30310-4414 | 2016-10-18 |
| 1346668969 | Andray Mcwilliams | Driver | 4060 Peachtree Rd Ne Ste D145, Atlanta, GA 30319-3020 | 2014-04-01 |
| 1972856805 | Que'ana Lache Morris Jackson | Driver | 931 Monroe Dr Ne Ste A102-450, Atlanta, GA 30308-1793 | 2012-10-16 |
| 1356806129 | Augustina Dora Gibson | Driver | 5155 Scofield Rd, Atlanta, GA 30349-3301 | 2019-02-06 |
| 1477079580 | Dennis Payne Mason | Driver | 4751 Best Rd Ste 300, Atlanta, GA 30337-5600 | 2017-08-21 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.