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JOHN TYLER BEAUCHAMP MD
NPI 1417704065
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since May 01, 2024PECOS Enrolled
6013 FARRINGTON RD STE 301, CHAPEL HILL, NC 27517(984) 974-6669(984) 974-9609 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Tyler Beauchamp Md NPPES

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

JOHN TYLER BEAUCHAMP MD (NPI 1417704065) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417704065
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN TYLER BEAUCHAMPCredential: MD
Location Address6013 FARRINGTON RD STE 301Chapel Hill, NC 27517-8173
Mailing AddressPediatric Education Office Campus Box 7593Chapel Hill, NC 27599-7593 · (919) 966-3172 · Fax (984) 974-9609
Phone(984) 974-6669
Fax(984) 974-9609
Sole ProprietorNo
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1417704065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6013 FARRINGTON RD STE 301, Chapel Hill, NC 27517
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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 Tyler Beauchamp 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.

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.

NICOLE EMILY BETTI DO
Student in an Organized Health Care Education/Training Program
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517
Chatham County (984) 974-6669
MORGAN ALISHA EVERHEART MD
Student in an Organized Health Care Education/Training Program
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517
Chatham County (984) 974-6669
LAUREN MICHELLE COOK MD
Student in an Organized Health Care Education/Training Program
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517
Chatham County (984) 974-1000
SIERRA LYNN HUDSON DO
Student in an Organized Health Care Education/Training Program
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517
Chatham County (984) 974-6669
MOLLY ELIZABETH KUO MD, PHD
Student in an Organized Health Care Education/Training Program
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517
Chatham County (984) 974-6669
KENDRA DENISE MOORE MD, MPH
Student in an Organized Health Care Education/Training Program
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517
Chatham County (984) 874-6669
ALEXIS JUEL ELFSTRAND
Student in an Organized Health Care Education/Training Program
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517
Chatham County (984) 974-6669
MARIA ANSAR
Student in an Organized Health Care Education/Training Program
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517
Chatham County (984) 974-6669

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 Beauchamp's NPI number?

The NPI number for John Beauchamp is 1417704065. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is John Beauchamp located?

John Beauchamp practices at 6013 Farrington Rd Ste 301, Chapel Hill, NC 27517. The listed phone number is (984) 974-6669.

What is John Beauchamp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Beauchamp enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Beauchamp was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.