MEDICARE: BEYONDMED 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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1366061699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYONDMED LLC

Provider Business Mailing Address
First Line	:	4290 BELLS FERRY RD NW STE 134-2090
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-7140
Country	:	US
Telephone Number	:	678-680-3750
Fax Number	:	888-728-0158

Provider Business Practice Location Address
First Line	:	540 POWDER SPRINGS ST STE B8
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-3560
Country	:	US
Telephone Number	:	678-680-3750
Fax Number	:

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER/CO-OWNER
Name	:	SHAREE CLARKE
Credential	:	FNP
Telephone Number	:	973-393-6826

Provider Enumeration Date	:	04/16/2020
Last Update Date	:	05/25/2026

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Directions to “BEYONDMED LLC ” Practice Location

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