MICHAEL EDWARD BEASLEY MD
NPI 1740364876
Specialist in Charlotte, NC

Active since October 25, 2006Opted out of Medicare · through Feb 28, 2027
2215 RANDOLPH RD, CHARLOTTE, NC 28207(704) 971-1438 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Edward Beasley Md NPPES

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

MICHAEL EDWARD BEASLEY MD (NPI 1740364876) is an individual specialist in Charlotte, North Carolina, licensed in North Carolina (26072) and active in the NPI registry since October 2006. He has opted out of Medicare through February 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740364876
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL EDWARD BEASLEYCredential: MD
Location Address2215 RANDOLPH RDCharlotte, NC 28207-1523
Mailing Address2215 Randolph RdCharlotte, NC 28207-1523 · (704) 971-1438
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1740364876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NC · 26072
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2215 RANDOLPH RD, Charlotte, NC 28207

Other Identifiers 1

Medicare UPINC82756NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Michael Edward Beasley Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2013 through February 28, 2027.

Opt-Out Effective DateFebruary 28, 2013
Opt-Out In Effect ThroughFebruary 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

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

Specialist
2215 RANDOLPH RD
CHARLOTTE, NC 28207
Plastic Surgery
2215 RANDOLPH RD
CHARLOTTE, NC 28207
Specialist
2215 RANDOLPH RD
CHARLOTTE, NC 28207
Specialist
2215 RANDOLPH RD
CHARLOTTE, NC 28207
Registered Nurse
2215 RANDOLPH RD
CHARLOTTE, NC 28207
Specialist
2215 RANDOLPH RD
CHARLOTTE, NC 28207
Plastic Surgery
2215 RANDOLPH RD
CHARLOTTE, NC 28207

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 Michael Beasley's NPI number?

The NPI number for Michael Beasley is 1740364876. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Michael Beasley located?

Michael Beasley practices at 2215 Randolph Rd, Charlotte, NC 28207. The listed phone number is (704) 971-1438.

What is Michael Beasley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Michael Beasley enrolled in Medicare?

No. Michael Beasley has opted out of Medicare through February 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Beasley 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.