NPI 1508860214 · live from the CMS NPI Registry
Jason Gregory Beasley, M.D.
Family Medicine in Collins, MS. National Provider Identifier 1508860214, active.
NPI record
| NPI | 1508860214 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 603 S Holly Ave, Collins, MS 39428 |
| Practice phone | 601-765-9393 |
| Mailing address | 606 Gerald Mcraney St, Collins, MS 39428 |
| Enumerated | June 9, 2005 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 18440 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.