JILL KATRICE BECKWORTH NP NPI 1538168109

NPI Information

NPI: 1538168109
Provider Name: JILL KATRICE BECKWORTH, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
4750 WATERS AVE
SUITE 202
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-7412
Get Directions

Jill Katrice Beckworth, NP is an adult health nurse practitioner in Savannah, GA. Jill Katrice Beckworth, NP NPI is 1538168109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4750 WATERS AVE
SUITE 202
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 350-7412
Fax: (912) 350-7297

The enumeration date for this NPI number is 7/18/2005 and was last updated on 7/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN132814	GEORGIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	RN132814	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP0872	MEDICAID	SOUTH CAROLINA
2	000958075C	MEDICAID	GEORGIA
3	50BBGBZ	MEDICARE PIN	GEORGIA
4	P60114	MEDICARE UPIN
5	202I507825	MEDICARE PIN	GEORGIA
6	000958075A	MEDICAID	GEORGIA
7	500025280	OTHER	GEORGIA	RR MEDICARE
8	01376746	OTHER	GEORGIA	AMERIGROUP
9	P00903092	OTHER	GEORGIA	RAILROAD MEDICARE
10	567244	OTHER	GEORGIA	WELLCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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