DR. STEPHANIE ALEXANDRA BEAVERS


Address: 250 Martin Luther King Jr Blvd, Macon, GA 31201
Phone: 4783012362

DR. STEPHANIE ALEXANDRA BEAVERS (NPI# 1831457274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831457274
Entity Type Individual
Full Name DR. STEPHANIE ALEXANDRA BEAVERS
Credential MD
Practice Address 250 Martin Luther King Jr Blvd
Macon
GA 31201
Practice Telephone 4783012362
Mailing Telephone 4783012362
Enumeration Date 2012-04-23
Last Update Date 2019-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 75743 GA Allopathic & Osteopathic Physicians

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1114307212 Stephanie Lee Beavers Chiropractor 524 Buckstone Dr., Saginaw, TX 76179 2015-06-03

Office Location

Street Address 250 MARTIN LUTHER KING JR BLVD
City MACON
State GA
Zip Code 31201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669465860 John Wesley King Jr. Internal Medicine 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2005-08-24
1194350017 Michael Caputo Marriage & Family Therapist 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2020-03-11
1801319447 Neha Khorana Psychologist 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2017-07-25
1659818623 Community Health Care Systems, Inc Clinic/Center 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2017-01-27
1659716546 Fanisha Y Porter Psychiatry & Neurology 250 Martin Luther King Jr Blvd, Macon, GA 31201 2013-05-06
1679835649 Joe Sam Robinson IIi Internal Medicine 250 Martin Luther King Jr Blvd, Macon, GA 31201 2012-06-14
1447534441 Marita Ann Hockstedler Nurse Practitioner 250 Martin Luther King Jr Blvd, Macon, GA 31201-0000 2011-10-10
1154602910 Dinah K Ayna Psychologist 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2011-09-07
1477708956 Katherine Walker Hatcher Nurse Practitioner 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2008-11-25
1760634505 Avinesh Singh Bhar Jaswindar Singh Internal Medicine 250 Martin Luther King Jr Blvd, Macon, GA 31201 2008-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174011811 Frances Barnes Grant Internal Medicine 1842 Waverland Cir, Macon, GA 31211-1116 2018-04-27
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1598295719 Lori Starr Internal Medicine 446 Poplar St Ste B, Macon, GA 31201-3336 2017-06-20
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1720456163 Wellness Connect Internal Medicine 1209 Marlowe Dr, Macon, GA 31210-3107 2015-09-02
1396157657 Almatmed H Mohamed Abdelsalam Internal Medicine 657 Hemlock St Ste 220, Macon, GA 31201-8311 2014-05-21
1114369865 Douglas Farman Md LLC Internal Medicine 310 Hospital Dr Ste 320, Macon, GA 31217-8027 2013-07-23
1528328796 Ahmad Azmi Kabbani Internal Medicine 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 2012-05-22
1376772640 Beverly Barksdale Sanders IIi Internal Medicine 330 Hospital Dr., Ste. 304, Macon, GA 31217 2009-07-08
1649414657 Lillette A Intaphan Md LLC Internal Medicine 432 Poplar St, Suite B, Macon, GA 31201-3336 2009-04-22
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Competitor

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City MACON
Zip Code 31201

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Dataset Information

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.

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