MR. NICHOLAS JEAN BEAULIEU (NPI# 1679680557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679680557 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS JEAN BEAULIEU |
| Other Name | DR. NICHOLAS JEAN BEAULIEU |
| Credential | M.D. |
| Practice Address |
920 Ponce De Leon Ave Ne 920 Ponce De Leon Ave Atlanta GA 30306-4212 |
| Practice Telephone | 4048151957 |
| Practice Fax Number | 4048151954 |
| Mailing Telephone | 4048151957 |
| Mailing Fax Number | 4048151954 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 42176 | GA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00717076E | 05 |
| Street Address |
920 PONCE DE LEON AVE NE 920 PONCE DE LEON AVE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30306-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457717969 | Amy Hatfield | Physician Assistant | 920 Ponce De Leon Ave Ne, Atlanta, GA 30306-4212 | 2016-01-13 |
| 1225352701 | Highland Urgent Care & Family Medicine LLC | Clinic/Center | 920 Ponce De Leon Ave Ne, Atlanta, GA 30306-4212 | 2010-03-26 |
| 1073741971 | Highland Urgent Care | Clinic/Center | 920 Ponce De Leon Ave Ne, Atlanta, GA 30306-4212 | 2009-06-30 |
| 1033238175 | Highland Urgent Care and Family Medicine | Preferred Provider Organization | 920 Ponce De Leon Ave Ne, Atlanta, GA 30306-4212 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
| 1447737697 | Heather Nicole Vansau | Speech-Language Pathologist | 1272 Stillwood Dr Ne, Atlanta, GA 30306 | 2018-07-20 |
| 1871095919 | Michelle Ruth Orovitz | Nurse Practitioner | 1140 Briarcliff Rd Ne Apt 1, Atlanta, GA 30306 | 2018-03-05 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1518414101 | David Alan Sturgess Jr. | Counselor | 696 Courtenay Dr, Ne, Atlanta, GA 30306 | 2016-09-01 |
| 1952778565 | Kristen Jugs | Speech-Language Pathologist | 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 | 2015-08-31 |
| 1962749655 | Robert B Tersak | Pharmacist | 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 | 2013-01-15 |
| 1730434812 | Poonam Bhakta Hurley | Physical Therapist | 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 | 2012-07-16 |
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1598045965 | April Kooy | Physician Assistant | 1000 Briarcliff Road Ne, Atlanta, GA 30306 | 2011-08-17 |
| Find all providers in zip 30306 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578003349 | Lrdj LLC | Preferred Provider Organization | 790 Huff Rd Nw Apt 4055, Atlanta, GA 30318-4373 | 2017-02-27 |
| 1205288164 | Medprime Brookhaven | Preferred Provider Organization | 2 Concourse Pkwy, Suite 100, Atlanta, GA 30328-5371 | 2016-07-04 |
| 1588052641 | Bjmm Medical LLC | Preferred Provider Organization | 1287 Glenwood Ave Se Ste C, Atlanta, GA 30316-1932 | 2014-12-24 |
| 1982955902 | Melson Counseling & Consulting Group | Preferred Provider Organization | 2900 Chamblee Tucker Rd Bldg 5-300, Atlanta, GA 30341-4158 | 2012-10-01 |
| 1013296078 | Peachtree Spine Center | Preferred Provider Organization | 1401 Peachtree St Ne Ste 160, Atlanta, GA 30309-3000 | 2011-08-09 |
| 1588812465 | Applications Technology Group, Inc. | Preferred Provider Organization | 5825 Glenridge Dr Ne Bldg 3, Atlanta, GA 30328-5387 | 2008-09-04 |
| 1851439830 | Dr.lily Narusevicius | Preferred Provider Organization | 4890 Roswell Rd Ne Ste 100, Atlanta, GA 30342-2606 | 2007-02-02 |
| 1407365224 | Ascension Wellness Inc | Preferred Provider Organization | 1800 Peachtree St Nw Ste 660, Atlanta, GA 30309-2522 | 2017-09-25 |
| 1538559729 | Mind's Eye Enterprises, LLC | Preferred Provider Organization | 455 E Paces Ferry Rd Ne, Suite 332, Atlanta, GA 30305-3313 | 2015-01-27 |
| 1699199554 | Care Choice Adult Development Program Inc | Preferred Provider Organization | 1075 Peachtree St Ne Ste 3650, Atlanta, GA 30309-3934 | 2014-02-13 |
| 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.