Beasley, Leigh Ann

Beasley, Leigh Ann is an individual health care provider with primary practice located at 285 Boulevard Ne Ste 415 , Atlanta GA 30312. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Beasley, Leigh Ann can be contacted via phone (404) 265-4400.

Contact Information

Primary practice address
285 Boulevard Ne Ste 415 Atlanta GA 30312
Phone: (404) 265-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2114 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6172 Georgia

Profile Details

NPI number 1881981017
LBN Legal business name Beasley, Leigh Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2011
Last updated Nov 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881981017 NPPES
Georgia Other 4410630001 DMERC PALMETTO
Georgia MEDICAID 003116570A DMERC PALMETTO
Georgia Other 202I971136 DMERC PALMETTO

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