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BEACON HEALTHCARE ASSOCIATES, PLLC
NPI 1902577174
Nurse Practitioner - Family in Hattiesburg, MS

Active since September 27, 2021
5266 OLD HWY 11, SUITE 50 PMB 158, HATTIESBURG, MS 39402(601) 909-8006 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Beacon Healthcare Associates, Pllc NPPES

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

BEACON HEALTHCARE ASSOCIATES, PLLC (NPI 1902577174) is a healthcare organization registered as a family in Hattiesburg, Mississippi and active in the NPI registry since September 2021. The organization lists Marquita Tucker, Manager, as its authorized official.

NPPES Registry Identity

NPI1902577174
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBEACON HEALTHCARE ASSOCIATES, PLLC
Location Address5266 OLD HWY 11, SUITE 50 PMB 158Hattiesburg, MS 39402
Mailing Address5266 Old Hwy 11, Suite 50 Pmb 158Hattiesburg, MS 39402 · (601) 909-8006
Phone(601) 909-8006
Organization SubpartNo
Authorized OfficialMarquita TuckerManager · (601) 909-8006
Enumeration DateSeptember 27, 2021
Last NPPES UpdateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1902577174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
5266 OLD HWY 11, Hattiesburg, MS 39402
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Beacon Healthcare Associates, PLLC's NPI number?

The NPI number for Beacon Healthcare Associates, PLLC is 1902577174. It was assigned to this organization in the NPPES registry on September 27, 2021.

Where is Beacon Healthcare Associates, PLLC located?

Beacon Healthcare Associates, PLLC is located at 5266 Old Hwy 11 Suite 50 Pmb 158, Hattiesburg, MS 39402. The listed phone number is (601) 909-8006.

What is Beacon Healthcare Associates, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Beacon Healthcare Associates, PLLC was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.