ETHEL S BEASLEY MD
NPI 1154321354
Internal Medicine in Choctaw, MS

Active since July 28, 2005
210 HOSPITAL CIR, CHOCTAW, MS 39350(601) 656-2211(601) 389-6391 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethel S Beasley Md NPPES

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

ETHEL S BEASLEY MD (NPI 1154321354) is an individual internal medicine provider in Choctaw, Mississippi, licensed in Mississippi (12703) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1154321354
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameETHEL S BEASLEYCredential: MD
Location Address210 HOSPITAL CIRChoctaw, MS 39350-6781
Mailing Address210 Hospital CirChoctaw, MS 39350-6781 · (601) 656-2211 · Fax (601) 389-6391
Fax(601) 389-6391
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 2, 2014
NPI 1154321354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MS · 12703
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
210 HOSPITAL CIR, Choctaw, MS 39350

Other Identifiers 5

Other73014344Blue Cross Of Al
Medicare ID-Type Unspecified110001807MS
Other009974375AL · Medicaid Of Al
Medicaid00111151MS
Medicare UPINF36924

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.

Pharmacist
210 HOSPITAL CIR
CHOCTAW, MS 39350
Nurse Practitioner
210 HOSPITAL CIR
CHOCTAW, MS 39350
Registered Nurse (Psychiatric/Mental Health)
210 HOSPITAL CIR
CHOCTAW, MS 39350
Case Manager/Care Coordinator
210 HOSPITAL CIR
CHOCTAW, MS 39350
Pharmacist
210 HOSPITAL CIR
CHOCTAW, MS 39350
Dietitian, Registered
210 HOSPITAL CIR
CHOCTAW, MS 39350
Dentist
210 HOSPITAL CIR
CHOCTAW, MS 39350
Pharmacist
210 HOSPITAL CIR
CHOCTAW, MS 39350

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 Ethel Beasley's NPI number?

The NPI number for Ethel Beasley is 1154321354. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Ethel Beasley located?

Ethel Beasley practices at 210 Hospital Cir, Choctaw, MS 39350. The listed phone number is (601) 656-2211.

What is Ethel Beasley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Ethel Beasley was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.