LAURA COLLIER BEACHAM – Physician Assistant, NPI 1124489380

LAURA COLLIER BEACHAM is a healthcare provider. based in Atlanta, Georgia. specializing in Physician Assistant. They hold a License No. 7942 (GA). The NPI Number for LAURA COLLIER BEACHAM is 1124489380

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LAURA COLLIER BEACHAM
NPI
1124489380
Phone
(404) 255-2975
Address
5673 PEACHTREE DUNWOODY RD STE 870
Enumeration Date
16 March 2016
Last Update Date
16 March 2016

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4043214600
Graduation Year
2015 (11 years ago)
PAC ID
9234428483
Group Practice PAC ID
3678547569
Professional Enrollment ID
I20160511002405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for LAURA COLLIER BEACHAM

  • Peachtree Dunwoody Road, Atlanta, Fulton County, Georgia, 30326, United States

    ATLANTA, GA 303425029

    Phone: (404) 255-2975

    Fax: (404) 255-2276

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,663.

Total Amount is formed as General ($1,663) + Research ($0) + Ownership ($0) = $1,663.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($333).

Total Amount

$1,663

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160511002405IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678547569View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YIL
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
Physician AssistantGA

Reviews

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Frequently asked questions

What NPI should I save for LAURA COLLIER BEACHAM?
Save NPI 1124489380 if you need a stable reference for LAURA COLLIER BEACHAM.
Is LAURA COLLIER BEACHAM currently active in the NPI registry?
CMS-published data lists LAURA COLLIER BEACHAM as an active registrant.
What field does LAURA COLLIER BEACHAM work in?
You can think of LAURA COLLIER BEACHAM as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for LAURA COLLIER BEACHAM?
We surface Atlanta, Georgia for LAURA COLLIER BEACHAM based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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