MR. KELLY DEAN BEAUMONT PA
NPI 1548369341
Pediatrics - Adolescent Medicine in St George, UT

Active since September 21, 2006PECOS Enrolled
1240 E 100 S STE 14, ST GEORGE, UT 84790(435) 628-8232(435) 674-7994 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kelly Dean Beaumont Pa NPPES

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

MR. KELLY DEAN BEAUMONT PA (NPI 1548369341) is an individual adolescent medicine provider in St George, Utah, licensed in Utah (100872-1206) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548369341
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameMR. KELLY DEAN BEAUMONTCredential: PA
Location Address1240 E 100 S STE 14St George, UT 84790-3005
Mailing Address1240 E 100 S Ste 14St George, UT 84790-3005 · (435) 628-8232 · Fax (435) 674-7994
Fax(435) 674-7994
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1548369341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in UT · 100872-1206
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1240 E 100 S STE 14, St George, UT 84790

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Kelly Dean Beaumont Pa 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 9

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

Pediatrics (Adolescent Medicine)
1240 E 100 S STE 14
ST GEORGE, UT 84790
Pediatrics
1240 E 100 S STE 14
SAINT GEORGE, UT 84790
Nurse Practitioner (Pediatrics)
1240 E 100 S STE 14
ST GEORGE, UT 84790
Pediatrics (Adolescent Medicine)
1240 E 100 S STE 14
ST GEORGE, UT 84790
Pediatrics (Adolescent Medicine)
1240 E 100 S STE 14
ST GEORGE, UT 84790
Nurse Practitioner (Pediatrics)
1240 E 100 S STE 14
ST GEORGE, UT 84790
Nurse Practitioner (Family)
1240 E 100 S STE 14
ST GEORGE, UT 84790
Pediatrics (Adolescent Medicine)
1240 E 100 S STE 14
ST GEORGE, UT 84790

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 Kelly Beaumont's NPI number?

The NPI number for Kelly Beaumont is 1548369341. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Kelly Beaumont located?

Kelly Beaumont practices at 1240 E 100 S Ste 14, St George, UT 84790. The listed phone number is (435) 628-8232.

What is Kelly Beaumont's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Kelly Beaumont enrolled in Medicare?

Yes. Kelly Beaumont is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Beaumont was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.