MEDICARE: NEW BEACON HEALTHCARE GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH1000X	Hospice Registered Nurse

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588693550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEACON HEALTHCARE GROUP, LLC

Provider Business Mailing Address
First Line	:	PO BOX 4060
Second Line	:	ATTN: REGULATORY
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-4060
Country	:	US
Telephone Number	:	704-664-2876
Fax Number	:	704-230-0946

Provider Business Practice Location Address
First Line	:	301 S HOUSTON ST
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-4319
Country	:	US
Telephone Number	:	256-574-4622
Fax Number	:	256-259-3772

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JENNIFER TYLER
Credential	:
Telephone Number	:	678-449-0459

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	06/10/2026

Similar Medicare Providers

1235061276 — ADVANCED CARE HOUSE CALLS OF ALABAMA, LLC
Practice Location Address:

901 HEROES DR
SCOTTSBORO, AL
35768-2409

Practice Phone: 256-259-4840
Practice Fax: 256-259-4830

1922004811 — CLOVERDALE HEALTH CARE, INC.
Practice Location Address:

412 W CLOVERDALE RD
SCOTTSBORO, AL
35768-4264

Practice Phone: 256-259-1505
Practice Fax: 256-259-4279

1114925815 — EDWARD WESLEY KNOWLES M.D.
Practice Location Address:

911 S BROAD ST
SCOTTSBORO, AL
35768-2509

Practice Phone: 256-259-0185
Practice Fax: 256-259-0317

1124026513 — DR. CHARLES E HOOD MD
Practice Location Address:

521 WOODS COVE RD
SCOTTSBORO, AL
35768-4930

Practice Phone: 256-259-1413
Practice Fax:

1619977378 — LAWRENCE J HERBERHOLZ MD
Practice Location Address:

911 S BROAD ST
SCOTTSBORO, AL
35768-2509

Practice Phone: 256-259-0185
Practice Fax: 256-259-0317

1265432371 — DARBY DONOVAN MARSHALL MD
Practice Location Address:

406 TAYLOR ST STE B
SCOTTSBORO, AL
35768-2406

Practice Phone: 256-574-6100
Practice Fax: 256-574-3004

Directions to “NEW BEACON HEALTHCARE GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.