DR. JAMES MICHAEL BEASLEY (NPI# 1689696817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689696817 |
| Entity Type | Individual |
| Full Name | DR. JAMES MICHAEL BEASLEY |
| Credential | M.D. |
| Practice Address |
1203 Jefferson St Laurel MS 39440-4354 |
| Practice Telephone | 6016492863 |
| Practice Fax Number | 6016499479 |
| Mailing Telephone | 6016492863 |
| Mailing Fax Number | 6016499479 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10241 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00017613 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770144826 | James Beasley IIi | Emergency Medical Technician, Basic | 302 Coke Ln, Alvin, TX 77511-3411 | 2019-06-27 |
| 1700490711 | James Allen Beasley | Counselor | 200 S Broad St Ste 205a, New Orleans, LA 70119-6447 | 2020-09-07 |
| 1811487556 | James Edward Beasley Jr. | Pharmacist | 44665 Valley Central Way, Lancaster, CA 93536-6500 | 2018-05-17 |
| 1760924583 | James Darren Beasley | Physical Therapy Assistant | 301 Andrews Avenue, Fort Rucker, AL 36360 | 2016-11-10 |
| 1285019380 | James Calvin Beasley Jr. | Nurse Practitioner | 5959 Park Ave, Memphis, TN 38119-5200 | 2015-07-30 |
| 1629497458 | James Beasley | Substance Abuse Rehabilitation Facility | 21360 N 1450 E, Moroni, UT 84646 | 2014-04-09 |
| 1255313987 | James Glenn Beasley | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2005-11-17 |
| Street Address |
1203 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497702302 | David L Harrison | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-05-27 |
| 1134762610 | South Central Regional Medical Center | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2019-10-28 |
| 1235698846 | Mary Morgan | Nurse Practitioner | 1203 Jefferson St, Laurel, MS 39440-4354 | 2019-03-14 |
| 1518443134 | Rebecca Suzanne Scarbrough | Nurse Practitioner | 1203 Jefferson St, Laurel, MS 39440 | 2018-07-17 |
| 1093232506 | South Central Clinics, Inc | Psychiatry & Neurology | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1457878969 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1376060830 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1346767852 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1821515388 | South Central Clinics, Inc | Clinic/Center | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1811414378 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003203134 | Erica Nakajima | Internal Medicine | 323 Laurel Ave, Laurel, MD 20707-4319 | 2015-04-15 |
| 1124457726 | Mid-atlantic Medical | Internal Medicine | 9248 Stream View Ln, Laurel, MD 20723-1890 | 2013-11-04 |
| 1881966851 | Solomon Feyissa LLC | Internal Medicine | 14740 4th St, Apt 415, Laurel, MD 20707-3718 | 2012-02-06 |
| 1942468152 | Ratnakanth Mohanrao Siddabattula | Internal Medicine | 13504 Attleboro Ct, Apt # 21, Laurel, MD 20708-1557 | 2008-05-26 |
| 1255511655 | Rita Pabla Md | Internal Medicine | 13621 Baltimore Ave, Laurel, MD 20707-5095 | 2007-11-14 |
| 1477640696 | Laurel Medical Group, LLC | Internal Medicine | 1124 S Central Ave, Laurel, DE 19956-1418 | 2006-10-09 |
| 1740390012 | Syed Akbar Ali Sadiq | Internal Medicine | 14333 Laurel Bowie Road, Suite 208, Laurel, MD 20708-1179 | 2006-08-30 |
| 1215960703 | Abdul Munim | Internal Medicine | 8379 Cherry Ln, Laurel, MD 20707-4831 | 2006-07-08 |
| 1699722009 | Prema Siva | Internal Medicine | 8871 Gorman Rd Ste 300, Laurel, MD 20723-5877 | 2006-05-30 |
| 1497702302 | David L Harrison | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-05-27 |
| Find all providers in LAUREL | ||||
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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.