JILL MICHELLE BEAM P.A. NPI 1952673568

Physician Assistant (Medical) in Tusclaoosa, AL

About JILL BEAM

Jill Beam is a provider in Tusclaoosa, AL. The NPI number assigned to this provider is 1952673568. The practitioner's primary taxonomy code is Physician Assistant (363AM0700X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Jill Beam is registered with Medicare.

NPI

1952673568

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JILL MICHELLE BEAM P.A.
Provider Location Address2731 MLK JR BLVD TUSCLAOOSA, AL 35401 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2731 MLK JR. BLVD TUSCALOOSA, AL 35401 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date01-30-2012 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-21-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code363AM0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationMedical
License No.PA.787
License StateAL

Business Address

JILL MICHELLE BEAM P.A.
2731 MLK JR BLVD
TUSCLAOOSA, AL
ZIP 35401
Phone: (205) 349-3250
Fax: (205) 345-3993

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Mailing Address

JILL MICHELLE BEAM P.A.
2731 MLK JR. BLVD
TUSCALOOSA, AL
ZIP 35401
Phone: (205) 349-3250
Fax: (205) 345-3993

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
PA.787OTHER (01)AL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023146743MS. LESIA G MEANS PA
Individual
Physician Assistant (Medical)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1063422756WHATLEY HEALTH SERVICES INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1114078078 BELINDA R RHODES DDS
Individual
Dentist (General Practice)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1154518926 SONYA M WALDROP CNM
Individual
Nurse Practitioner (Obstetrics & Gynecology)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1174756720DR. KEVIN DOYLE HANCOCK DMD
Individual
Dentist (General Practice)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1316193717WHATLEY HEALTH SERVICES, INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1396848685 LUCY N CULPEPPER MD
Individual
Pediatrics2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1396908364 GAYLE M GRIFFIN-MOUSSA CRNP
Individual
Nurse Practitioner (Family)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1417040163 SONIA VARGAS-MENDOZA DDS
Individual
Dentist (General Practice)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1427115427 GEORGE DELANSONE LUCKEY MD
Individual
Family Medicine2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1427282367MRS. BRENDA KAY STEWART WHNP
Individual
Nurse Practitioner (Women's Health)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1437265279DR. RAFAEL M CONTRERAS MD
Individual
Internal Medicine2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1588990386MS. ANDREA D GARDNER NP
Individual
Nurse Practitioner (Family)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1598191231MRS. CHRISTINE SINGLETON FALLS CRNP
Individual
Nurse Practitioner (Family)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1669800256 LYNN SEXTON CRNP
Individual
Nurse Practitioner (Adult Health)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1689703779MS. VIOLET CHADWICK CPNP
Individual
Nurse Practitioner (Pediatrics)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1699946087WHATLEY HEALTH SERVICES, INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1720265341 PRELINCA R SHERROD NP
Individual
Nurse Practitioner (Family)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1992953657 KELLI L. ALBRITTON DMD
Individual
Dentist (General Practice)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
1992997415 TONYA D SHANAHAN
Individual
Nurse Practitioner (Family)2731 MLK JR BLVD
TUSCALOOSA, AL 35401
(205) 349-3250
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