JOHN C BEACH MD
NPI 1104497460
Emergency Medicine in Fort Gordon, GA

Active since July 08, 2021PECOS Enrolled
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905(706) 787-4657 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Jul 8, 2021 (2 updates tracked since 2021).

About John C Beach Md NPPES

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

JOHN C BEACH MD (NPI 1104497460) is an individual emergency medicine provider in Fort Gordon, Georgia, licensed in Michigan (4301511283) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104497460
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN C BEACHCredential: MD
Location Address300 EAST HOSPITAL ROADFort Gordon, GA 30905-5650
Mailing Address300 East Hospital RoadFort Gordon, GA 30905-5650
Sole ProprietorYes
Enumeration DateJuly 8, 2021
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1104497460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 4301511283
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
300 EAST HOSPITAL ROAD, Fort Gordon, GA 30905

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John C Beach Md 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 30905 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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 20

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

Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Psychologist (Clinical)
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Family Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Internal Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905

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 John Beach's NPI number?

The NPI number for John Beach is 1104497460. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is John Beach located?

John Beach practices at 300 East Hospital Road, Fort Gordon, GA 30905. The listed phone number is (706) 787-4657.

What is John Beach's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Beach enrolled in Medicare?

Yes. John Beach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Beach was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.