DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. AMYA B. BECKOM PA-C

MEDICARE: MS. AMYA B. BECKOM PA-C
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
1363A00000XPhysician Assistant13471GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116630250OTHERCAQH

General Provider Information

NPI Number : 1093686461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMYA B. BECKOM PA-C
Provider Business Mailing Address
First Line : 1765 OLD WEST BROAD ST BLDG 2-200
Second Line :
City : ATHENS
State : GA
Zip : 30606-2887
Country : US
Telephone Number : 706-549-1663
Fax Number : 706-546-8792
Provider Business Practice Location Address
First Line : 3440 HIGHWAY 81
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-9112
Country : US
Telephone Number : 770-554-5009
Fax Number : 706-546-8792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2025
Last Update Date : 06/11/2026

Similar Medicare Providers

1659104933 — BRANDON LAI PA-C
Practice Location Address:
3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112
Practice Phone: 770-554-5009
Practice Fax: 706-546-8792
1588335251 — KATELYN NESBIT
Practice Location Address:
3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112
Practice Phone: 770-554-5009
Practice Fax: 706-546-8792
1063487015 — MR. ALAN M. KEATING PA-C
Practice Location Address:
3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112
Practice Phone: 770-554-5009
Practice Fax: 706-546-8792
1437199312 — DR. MICHAEL SHANE SMITH MD
Practice Location Address:
3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112
Practice Phone: 770-554-5009
Practice Fax: 706-549-1663
1285820217 — KARIN DOWNING FOSTER MOT, OTR/L, CHT
Practice Location Address:
3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112
Practice Phone: 706-549-1663
Practice Fax: 706-546-8792
1033308739 — WENDY K GRAGE CSFA
Practice Location Address:
3440 HIGHWAY 81
LOGANVILLE, GA
30052-9112
Practice Phone: 706-549-1663
Practice Fax: 706-546-8792

Directions to “ MS. AMYA B. BECKOM PA-C” 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.