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CHARLES JEFFREY BEACH PA
NPI 1669434148
Physician Assistant in Winston-salem, NC

Active since April 03, 2006
140 KIMEL PARK DR, WINSTON-SALEM, NC 27103(336) 245-2100(336) 765-6135 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Jeffrey Beach Pa NPPES

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

CHARLES JEFFREY BEACH PA (NPI 1669434148) is an individual physician assistant in Winston-salem, North Carolina, licensed in North Carolina (100198) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1669434148
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES JEFFREY BEACHCredential: PA
Location Address140 KIMEL PARK DRWinston-salem, NC 27103-6946
Mailing Address2000 Frontis Plaza Blvd Ste 200, Attn Forsyth Medical GroupWinston Salem, NC 27103-5616 · (336) 277-2436
Phone(336) 245-2100
Fax(336) 765-6135
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateAugust 29, 2007
✔ NPI 1669434148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 100198
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
140 KIMEL PARK DR, Winston-salem, NC 27103
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Other Identifiers 1

Medicare ID-Type Unspecified2753103NC

Other Providers at the Same Location NPPES 11

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

DR. ALLSTON JULIUS STUBBS M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
DR. GEORGE BURGWYN NEWSOME M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
DR. FREDERICK LAWRENCE HOWELL M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
CAROLINA UROLOGICAL ASSOCIATES, P.A.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
MS. MONIQUE SHERAN HOWLETT RN
Nurse Practitioner
140 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
BREANNA MARIE LOPEZ LCSW
Social Worker (Clinical)
140 KIMEL PARK DR, STE 200
WINSTON-SALEM, NC 27103
Forsyth County (336) 718-7250
DR. CHARLES FREDRIC REID M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
DR. LAURA CULP FOSTER M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100

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 Charles Beach's NPI number?

The NPI number for Charles Beach is 1669434148. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Charles Beach located?

Charles Beach practices at 140 Kimel Park Dr, Winston-Salem, NC 27103. The listed phone number is (336) 245-2100.

What is Charles Beach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Charles Beach was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.