BEVERLY JEAN CADWALLADER PA-C
NPI 1003232265
Physician Assistant - Medical in Eatonton, GA

Active since March 12, 2014PECOS EnrolledAccepts Medicare Assignment
1129 LAKE OCONEE PKWY STE 104, EATONTON, GA 31024(762) 220-1962(762) 220-1961 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2023, Oct 23, 2020, Mar 5, 2019 (3 updates tracked since 2019).

About Beverly Jean Cadwallader Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY JEAN CADWALLADER PA-C (NPI 1003232265) is an individual medical provider in Eatonton, Georgia, licensed in Georgia (8792) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1003232265
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBEVERLY JEAN CADWALLADERCredential: PA-C
Location Address1129 LAKE OCONEE PKWY STE 104Eatonton, GA 31024-9581
Mailing Address1129 Lake Oconee Pkwy Ste 104Eatonton, GA 31024-9581 · (762) 220-1962 · Fax (762) 220-1961
Fax(762) 220-1961
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 12, 2014
Last NPPES UpdateFebruary 9, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
NPI 1003232265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 8792
1129 LAKE OCONEE PKWY STE 104, Eatonton, GA 31024

Other Names 1

Former Name (1)Beverly Gallati Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Beverly Jean Cadwallader Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709129794
PECOS Enrollment IDI20190514002580
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1129 LAKE OCONEE PKWY STE 104
EATONTON, GA 31024
Clinic/Center (Infusion Therapy)
1129 LAKE OCONEE PKWY STE 104
EATONTON, GA 31024
Clinic/Center
1129 LAKE OCONEE PKWY STE 104
EATONTON, GA 31024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Cadwallader's NPI number?

The NPI number for Beverly Cadwallader is 1003232265. It was assigned to this individual provider in the NPPES registry on March 12, 2014. The provider is also known as Beverly Gallati Pa-C.

Where is Beverly Cadwallader located?

Beverly Cadwallader practices at 1129 Lake Oconee Pkwy Ste 104, Eatonton, GA 31024. The listed phone number is (762) 220-1962.

What is Beverly Cadwallader's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Beverly Cadwallader enrolled in Medicare?

Yes. Beverly Cadwallader is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beverly Cadwallader accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Beverly Cadwallader as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beverly Cadwallader was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.