Individual provider

Annette Beasley, M.D.

Family Medicine Physician Medicare enrolled

Annette Beasley, M.D. is a Family Medicine Physician in Mayfield, KY, registered under NPI 1063504207. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1099 MEDICAL CENTER CIR, Mayfield, KY 42066. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1099 MEDICAL CENTER CIR, Mayfield, KY 42066 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
35785 KY Family Medicine Physician primary
01053156A IN Family Medicine Physician

Licences are recorded in 2 states: KY, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
2860487667

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Indiana and Kentucky. The practice address on file is in Mayfield, KY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IN Indiana
Licence
01053156A
Specialty
Family Medicine Physician
Verify with the IN board →
KY Kentucky practice address
Licence
35785
Specialty
Family Medicine Physician
Verify with the KY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 35785 KY primary
207Q00000X Family Medicine Physician 01053156A IN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063504207 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 28, 2006
Last updatedApr 19, 2018
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 1099 MEDICAL CENTER CIR
Mayfield, KY 42066
(812) 267-0686
Mailing address 14291 NE 47TH AVE
Anthony, FL 32617
Other identifiers P00058122 · RAILROAD MEDICARE NUMBER (IN)
000000292351 · ANTHEM (IN)
200357830A (IN)
M400068689 · ANTHEM- ICC (KY)
This record was last updated on Apr 19, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063504207 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 5 0 4 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 1 0 8 2 0

Sum = 43 · next multiple of 10 = 50 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063504207?
NPI 1063504207 is the National Provider Identifier assigned to Annette Beasley, M.D. in Mayfield, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Annette Beasley, M.D.?
The phone number on file with NPPES is (812) 267-0686, last updated Apr 19, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Annette Beasley, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063504207 a valid number?
Yes. 1063504207 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.