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BETH SCOGGAN COSTOLNICK PA-C
NPI 1740598648
Physician Assistant - Medical in Macon, GA

Active since September 14, 2010PECOS Enrolled
550 PROFESSIONAL DR, MACON, GA 31201(478) 741-3007(478) 755-1547 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beth Scoggan Costolnick Pa-c NPPES

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

BETH SCOGGAN COSTOLNICK PA-C (NPI 1740598648) is an individual medical provider in Macon, Georgia, licensed in Georgia (1094738) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740598648
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBETH SCOGGAN COSTOLNICKCredential: PA-C
Location Address550 PROFESSIONAL DRMacon, GA 31201-1411
Mailing Address550 Professional DrMacon, GA 31201-1411 · (478) 741-3007 · Fax (478) 755-1547
Phone(478) 741-3007
Fax(478) 755-1547
Sole ProprietorNo
Enumeration DateSeptember 14, 2010
Last NPPES UpdateMarch 27, 2012
✔ NPI 1740598648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 1094738
550 PROFESSIONAL DR, Macon, GA 31201
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Other Names 1

Former Name (1)Beth Anne Scoggan Pa-c

Other Identifiers 1

Other582409645GA · Taxpayer Identification Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Scoggan Costolnick Pa-c 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.

DANA LINDSEY MAYO MD
Pediatrics
550 PROFESSIONAL DR
MACON, GA 31201
Bibb County (478) 741-3007
CAITLIN MICHELE CORLEY RN, CPNP
Nurse Practitioner (Pediatrics)
550 PROFESSIONAL DR
MACON, GA 31201
Bibb County (478) 741-3007
MRS. JULIA ELIZABETH YAWN CPNP
Nurse Practitioner (Pediatrics)
550 PROFESSIONAL DR
MACON, GA 31201
Bibb County (478) 741-3007
STEFANIE SMITH TATE
Nurse Practitioner (Pediatrics)
550 PROFESSIONAL DR
MACON, GA 31201
Bibb County (478) 741-3007
LINDSAY SHEA KINNEBREW MD
Pediatrics
550 PROFESSIONAL DR
MACON, GA 31201
Bibb County (478) 741-3007
MRS. JONI REBA DIXON-MILNER PNP
Nurse Practitioner (Pediatrics)
550 PROFESSIONAL DR
MACON, GA 31201
Bibb County (478) 741-3007
LYRA O RATMEYER MD
Pediatrics
550 PROFESSIONAL DR
MACON, GA 31201
Bibb County (478) 741-3007
DR. DONNA PAYNE M.D.
Pediatrics
550 PROFESSIONAL DR
MACON, GA 31201
Bibb County (478) 741-3007

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 Beth Costolnick's NPI number?

The NPI number for Beth Costolnick is 1740598648. It was assigned to this individual provider in the NPPES registry on September 14, 2010. The provider is also known as Beth Anne Scoggan Pa-C.

Where is Beth Costolnick located?

Beth Costolnick practices at 550 Professional Dr, Macon, GA 31201. The listed phone number is (478) 741-3007.

What is Beth Costolnick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Beth Costolnick enrolled in Medicare?

Yes. Beth Costolnick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beth Costolnick was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.