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NPI Code Detail

MEDICARE: DR. TIMOTHY SCOTT BECK M.D.

MEDICARE: DR. TIMOTHY SCOTT BECK M.D.
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
1207R00000XInternal Medicine Physician054546GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2867920OTHERGABCBS PROVIDER NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548223779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY SCOTT BECK M.D.
Provider Business Mailing Address
First Line : 189 BO JAMES ST STE 105
Second Line :
City : CLAYTON
State : GA
Zip : 30525-6199
Country : US
Telephone Number : 706-782-0016
Fax Number : 706-782-0180
Provider Business Practice Location Address
First Line : 189 BO JAMES ST STE 105
Second Line :
City : CLAYTON
State : GA
Zip : 30525-6199
Country : US
Telephone Number : 706-782-0016
Fax Number : 706-782-0180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 09/16/2025

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