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DR. NATHAN KEIL BEAVERS D.M.D.
NPI 1790849404
Dentist - Pediatric Dentistry in Madison, MS

Active since December 20, 2006PECOS Enrolled
312 FOUNTAINS DR, MADISON, MS 39110(601) 856-5313(601) 856-5552 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2025, Jun 18, 2025, Feb 19, 2025 and 1 more (4 updates tracked since 2021).

About Dr. Nathan Keil Beavers D.m.d. NPPES

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

DR. NATHAN KEIL BEAVERS D.M.D. (NPI 1790849404) is an individual pediatric dentistry provider in Madison, Mississippi, licensed in Mississippi (PEDO-377-04) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790849404
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. NATHAN KEIL BEAVERSCredential: D.M.D.
Location Address312 FOUNTAINS DRMadison, MS 39110-6384
Mailing Address312 Fountains DrMadison, MS 39110-6384 · (601) 856-5313 · Fax (601) 856-5552
Phone(601) 856-5313
Fax(601) 856-5552
Sole ProprietorYes
Enumeration DateDecember 20, 2006
Last NPPES UpdateOctober 7, 20254 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1790849404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · PEDO-377-04
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

312 FOUNTAINS DR, Madison, MS 39110
Open in Google Maps ↗

Other Identifiers 1

Medicaid08101262MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO, Guardian, Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan Keil Beavers D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

NATHAN K. BEAVERS DMD PLLC
Dentist (Pediatric Dentistry)
312 FOUNTAINS DR
MADISON, MS 39110
Madison County (601) 856-5313
ANNE MARIE CURRIE HREISH
Dentist (Pediatric Dentistry)
312 FOUNTAINS DR
MADISON, MS 39110
Madison County (601) 856-5313

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 Nathan Beavers's NPI number?

The NPI number for Nathan Beavers is 1790849404. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Nathan Beavers located?

Nathan Beavers practices at 312 Fountains Dr, Madison, MS 39110. The listed phone number is (601) 856-5313.

What is Nathan Beavers's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Nathan Beavers enrolled in Medicare?

Yes. Nathan Beavers is registered in the Medicare PECOS enrollment system.

What insurance does Nathan Beavers accept?

Health plans from Delta Dental PPO, Guardian and Humana list Nathan Beavers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Beavers was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.