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BEAU PHILIP GEDRICK D.O.
NPI 1679899215
Emergency Medicine - Sports Medicine in Evans, GA

Active since April 07, 2010PECOS Enrolled
77.82/100
CMS Quality Rating
4490 WASHINGTON RD STE 2, EVANS, GA 30809(762) 930-3539(706) 391-4250 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beau Philip Gedrick D.o. NPPES

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

BEAU PHILIP GEDRICK D.O. (NPI 1679899215) is an individual sports medicine provider in Evans, Georgia, licensed in Georgia (075463) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679899215
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameBEAU PHILIP GEDRICKCredential: D.O.
Location Address4490 WASHINGTON RD STE 2Evans, GA 30809-5899
Mailing Address4490 Washington Rd Ste 2Evans, GA 30809-5899 · (762) 930-3539 · Fax (706) 391-4250
Phone(762) 930-3539
Fax(706) 391-4250
Sole ProprietorYes
Enumeration DateApril 7, 2010
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1679899215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in GA · 075463
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 075463 (GA)
4490 WASHINGTON RD STE 2, Evans, GA 30809
Open in Google Maps ↗

Other Identifiers 1

Medicaid003173115BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beau Philip Gedrick D.o. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Beau Gedrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Au Medical Associates Emergency Medicine Billing Services, LLC
10 mi
Emergency Medicine
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 114 clinicians in this Medicare group
NPI 1982089777 (706) 721-4951
Au Medical Associates Inc
11 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES

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

FLEX SPORTS MEDICINE AND WELLNESS, LLC
Emergency Medicine (Sports Medicine)
4490 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (762) 930-3539

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 Beau Gedrick's NPI number?

The NPI number for Beau Gedrick is 1679899215. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Beau Gedrick located?

Beau Gedrick practices at 4490 Washington Rd Ste 2, Evans, GA 30809. The listed phone number is (762) 930-3539.

What is Beau Gedrick's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Beau Gedrick enrolled in Medicare?

Yes. Beau Gedrick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Beau Gedrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beau Gedrick reassigns Medicare benefits to 2 organizations: Au Medical Associates Emergency Medicine Billing Services, LLC (Augusta, GA) and Au Medical Associates Inc (Augusta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beau Gedrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Beau Gedrick was last updated on December 6, 2023. 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.