LESA BEACH (NPI# 1831442888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831442888 |
| Entity Type | Individual |
| Full Name | LESA BEACH |
| Credential | NP |
| Practice Address |
2709 Meredyth Dr Ste 230 Albany GA 31707-0222 |
| Mailing Address |
500 W 3rd Ave Ste 101 Albany GA 31701-1985 |
| Practice Telephone | 2293125733 |
| Practice Fax Number | 2293129705 |
| Mailing Telephone | 2293125800 |
| Mailing Fax Number | 2293125853 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN184024 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2709 MEREDYTH DR STE 230 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-0222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919438 | James A. Rooney | Dermatology | 2709 Meredyth Dr, Suite 340, Albany, GA 31707-0222 | 2005-08-23 |
| 1164883831 | Michael Brandon Ross | Physical Therapist | 2709 Meredyth Dr, Albany, GA 31707-0222 | 2016-03-09 |
| 1417377912 | Jordan Knoefler | Family Medicine | 2709 Meredyth Dr, Albany, GA 31707-0222 | 2014-04-23 |
| 1407108756 | Brandon Arch Glow | Physician Assistant | 2709 Meredyth Dr, Ste 450, Albany, GA 31707-0222 | 2012-10-11 |
| 1447571294 | Meredith Mckee Koomson | Internal Medicine | 2709 Meredyth Dr, Suite 330, Albany, GA 31707-0222 | 2010-06-16 |
| 1407176647 | Phoebe Neurology | Psychiatry & Neurology | 2709 Meredyth Dr, Ste 230, Albany, GA 31707-0218 | 2010-06-10 |
| 1336261205 | Berg Eye Center, P. C. | Durable Medical Equipment & Medical Supplies | 2709 Meredyth Dr, Suite 110 One Meredyth Place, Albany, GA 31707-0201 | 2007-04-04 |
| 1003974809 | Southwest Georgia Neurology, P.C. | Psychiatry & Neurology | 2709 Meredyth Dr, Suite 230, Albany, GA 31707-0222 | 2006-12-05 |
| 1598859373 | Bridget T Milani | Physical Therapist | 2709 Meredyth Dr, Suite 450, Albany, GA 31707-0222 | 2006-10-03 |
| 1891724985 | Southwest Georgia Orthopedic & Sports Medicine Center, Inc. | Specialist | 2709 Meredyth Dr, Suite 450, Albany, GA 31707-0222 | 2006-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131583 | Mfon Bassey | Nurse Practitioner | 14 N Manning Blvd Apt B-25, Albany, NY 12206-1963 | 2020-10-09 |
| 1245837194 | Thomas W Mansfield | Nurse Practitioner | 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 | 2020-10-05 |
| 1770199408 | April Mccluster | Nurse Practitioner | 2753 Bettys Dr, Albany, GA 31705-9510 | 2020-09-17 |
| 1457967317 | Cynthia Ann Chaney | Nurse Practitioner | 4546 Lacosta Dr, Albany, GA 31721-9433 | 2020-09-16 |
| 1083223135 | Jamila Cruz | Nurse Practitioner | 1758 Philema Rd S, Albany, GA 31701-4781 | 2020-07-24 |
| 1083239313 | Danajoy Melissa Vincent | Nurse Practitioner | 416 Partridge Dr, Albany, GA 31707-3038 | 2020-06-12 |
| 1033744602 | Rodesia Ashanta Woodson | Nurse Practitioner | 2504 Devon Dr, Albany, GA 31721-2128 | 2020-03-04 |
| 1972156057 | Kristen Lynn Cook | Nurse Practitioner | 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 | 2019-07-18 |
| 1255992046 | Jennifer Lieberman | Nurse Practitioner | 1365 Washington Ave Ste 100, Albany, NY 12206-1098 | 2019-06-24 |
| 1053976993 | Amanda Bylsma | Nurse Practitioner | 5 Palisades Dr Ste 200, Albany, NY 12205-6433 | 2019-05-07 |
| Find all providers in ALBANY | ||||
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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.