Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GARY MICHAEL BEAUDREAU DMD
NPI 1043260466
Dentist - General Practice in Evans, GA

Active since May 10, 2006PECOS Enrolled
4250 WASHINGTON RD, EVANS, GA 30809(706) 860-3200 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary Michael Beaudreau Dmd NPPES

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

DR. GARY MICHAEL BEAUDREAU DMD (NPI 1043260466) is an individual general practice provider in Evans, Georgia, licensed in Georgia (D09998) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043260466
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY MICHAEL BEAUDREAUCredential: DMD
Location Address4250 WASHINGTON RDEvans, GA 30809-3087
Mailing Address4250 Washington Rd, Po Box 440Evans, GA 30809-3087 · (706) 860-3200
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1043260466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · D09998
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4250 WASHINGTON RD, Evans, GA 30809

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gary Michael Beaudreau Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist (General Practice)
4250 WASHINGTON RD
EVANS, GA 30809
Clinic/Center
4250 WASHINGTON RD
EVANS, GA 30809
Dentist (General Practice)
4250 WASHINGTON RD
EVANS, GA 30809

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 Gary Beaudreau's NPI number?

The NPI number for Gary Beaudreau is 1043260466. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Gary Beaudreau located?

Gary Beaudreau practices at 4250 Washington Rd, Evans, GA 30809. The listed phone number is (706) 860-3200.

What is Gary Beaudreau's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gary Beaudreau enrolled in Medicare?

Yes. Gary Beaudreau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Beaudreau was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.