Thomas B Beasley (NPI# 1538393905, PAC ID# 3072731033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1538393905 |
| PAC ID by PECOS | 3072731033 |
| Professional Enrollment ID | I20140904001580 |
| Full Name | Thomas B Beasley |
| Organization Legal Name | SPG II LLC |
| Address |
5480 Goodman Rd Suite 3 Olive Branch MS 38654-7902 |
| Phone Number | 6628939815 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7012177132 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5480 Goodman Rd, Suite 3, Olive Branch, MS 38654-7902 | 6628939815 | SPG II LLC |
| Organization Legal Name | SPG II LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharif A Abdus-salaam | Orthopedic Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Richard Alan Ellis | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Mark Page Miller | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Roger L Mcgee | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Kevin M Lunsford | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Jean-claude Loiseau | General Surgery | Spg II LLC | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6445 |
| Anthony Hollins | Orthopedic Surgery | Spg II LLC | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6445 |
| Thaddeus B Gaillard Jr. | Obstetrics/gynecology | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Street Address |
5480 GOODMAN RD SUITE 3 |
| City | OLIVE BRANCH |
| State | MS |
| Zip | 38654-7902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey H Lowrey | General Practice | Methodist Healthcare Community Care Associates | 5480 Goodman Rd, Suite 1, Olive Branch, MS 38654-7902 |
| Flotyl K Gresham | Nurse Practitioner | Methodist Healthcare Community Care Associates | 5480 Goodman Rd, Suite 1, Olive Branch, MS 38654-7902 |
| Charlotte R Drake | Nurse Practitioner | Methodist Healthcare Community Care Associates | 5480 Goodman Rd, Suite 1, Olive Branch, MS 38654-7902 |
| Cayce L. Redding | Nurse Practitioner | Methodist Healthcare Community Care Associates | 5480 Goodman Rd, Suite 1, Olive Branch, MS 38654-7902 |
| Wanda L Brown | Nurse Practitioner | Primary Care Group, LLC | 5480 Goodman Rd, Olive Branch, MS 38654-7902 |
| Mary E Tullos | Nurse Practitioner | Methodist Healthcare Community Care Associates | 5480 Goodman Rd, Olive Branch, MS 38654-7902 |
| Ashley N Falkner | Nurse Practitioner | Methodist Healthcare Community Care Associates | 5480 Goodman Rd, Suite 1, Olive Branch, MS 38654-7902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Musso | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Clare E Benson | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Shavon Conerly | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Steven Hopkins | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Nicholas Bailey | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Emily Michele Terrell | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| John H Desutter | Chiropractic | 9659 Goodman Rd, Olive Branch, MS 38654-1725 | |
| Vickie D Long | Nurse Practitioner | 9684 Old Goodman Rd, Olive Branch, MS 38654-1726 | |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Shailesh Patel | Internal Medicine | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Find all physicians in zip 38654 | |||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
| Specialty | GENERAL SURGERY |
| City + Specialty | OLIVE BRANCH + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.