Physician Compare National (NPI:1508860214)

HEALTHCARE PROVIDER: JASON GREGORY BEASLEY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508860214
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153397385
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040908001296
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEASLEY
	Individual professional last name
Provider First Name	JASON
	Individual professional first name
Provider Middle Name	GREGORY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	606 GERALD MCRANEY ST
	Group Practice or individual's line 1 address
City	COLLINS
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	394284241
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	251325
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COVINGTON COUNTY HOSPITAL CAH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y