MEDICARE: BETH ANN CASADY DO FAAFP

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	207Q00000X	Family Medicine Physician	840	TN

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720096159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH ANN CASADY DO FAAFP

Provider Business Mailing Address
First Line	:	PO BOX 506
Second Line	:
City	:	SPRING CITY
State	:	TN
Zip	:	37381-0506
Country	:	US
Telephone Number	:	423-365-0450
Fax Number	:	888-355-6415

Provider Business Practice Location Address
First Line	:	126 LAVENDER ST
Second Line	:
City	:	SPRING CITY
State	:	TN
Zip	:	37381-5102
Country	:	US
Telephone Number	:	423-365-0450
Fax Number	:	888-355-6415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	09/04/2025

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Directions to “ BETH ANN CASADY DO FAAFP” Practice Location

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