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DONALD E BEACH PC
NPI 1063434108
Family Medicine in Moulton, AL

Active since July 25, 2006CLIA 01D0886590 · Microscopy
633 LAWRENCE ST, MOULTON, AL 35650(256) 974-6646(256) 974-8654 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald E Beach Pc NPPES

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

DONALD E BEACH PC (NPI 1063434108) is a healthcare organization registered as a family medicine in Moulton, Alabama and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through November 27, 2026 and lists Donald E Beach, Owner, as its authorized official.

NPPES Registry Identity

NPI1063434108
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDONALD E BEACH PC
Location Address633 LAWRENCE STMoulton, AL 35650-1532
Mailing Address633 Lawrence StMoulton, AL 35650-1532 · (256) 974-6646 · Fax (256) 974-8654
Phone(256) 974-6646
Fax(256) 974-8654
Organization SubpartNo
Authorized OfficialDonald E BeachOwner · (256) 974-6646
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1063434108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 00009068
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
633 LAWRENCE ST, Moulton, AL 35650
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald E Beach Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Donald E Beach PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Don Beach, M.D.
Family Practice
NPI 1366416943
633 LAWRENCE ST
Moulton, AL 35650
(256) 974-6646
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 01D0886590

Donald E Beach MD · Moulton, AL
Active · expires Nov 27, 2026
CLIA Number01D0886590
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorDonald E. Beach MD
Laboratory Phone(256) 974-6646
Laboratory LocationDonald E Beach MD295 Hospital Street, Moulton, AL 35650
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Donald E Beach PC's NPI number?

The NPI number for Donald E Beach PC is 1063434108. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Donald E Beach PC located?

Donald E Beach PC is located at 633 Lawrence St, Moulton, AL 35650. The listed phone number is (256) 974-6646.

What is Donald E Beach PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donald E Beach PC enrolled in Medicare?

Yes. Donald E Beach PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Donald E Beach PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Donald E Beach PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Donald E Beach PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0886590) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Donald E Beach PC was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.