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MR. JOHN SIMUEL BEASLEY III NP
NPI 1184195653
Nurse Practitioner in Marietta, GA

Active since December 10, 2018
540 POWDER SPRINGS ST STE B8, MARIETTA, GA 30064(404) 749-0571(949) 864-3686 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Dec 10, 2018 (2 updates tracked since 2018).

About Mr. John Simuel Beasley Iii Np NPPES

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

MR. JOHN SIMUEL BEASLEY III NP (NPI 1184195653) is an individual nurse practitioner in Marietta, Georgia, licensed in Georgia (RN197645) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1184195653
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JOHN SIMUEL BEASLEY IIICredential: NP
Location Address540 POWDER SPRINGS ST STE B8Marietta, GA 30064-3560
Mailing Address540 Powder Springs St Ste B8Marietta, GA 30064-3560 · (404) 749-0571 · Fax (949) 864-3686
Phone(404) 749-0571
Fax(949) 864-3686
Sole ProprietorNo
Enumeration DateDecember 10, 2018
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1184195653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN197645
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
540 POWDER SPRINGS ST STE B8, Marietta, GA 30064
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Other Providers at the Same Location NPPES 2

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

THE FRATERNITY MEN'S HEALTH AND WELLNESS
Clinic/Center (Health Service)
540 POWDER SPRINGS ST STE B8
MARIETTA, GA 30064
Cobb County (404) 749-0571
BEYONDMED LLC
Clinic/Center (Primary Care)
540 POWDER SPRINGS ST STE B8
MARIETTA, GA 30064
Cobb County (678) 680-3750

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 Beasley's NPI number?

The NPI number for John Beasley is 1184195653. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Where is John Beasley located?

John Beasley practices at 540 Powder Springs St Ste B8, Marietta, GA 30064. The listed phone number is (404) 749-0571.

What is John Beasley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for John Beasley was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.