BEVERLY O'BRYAN CARTWRIGHT P.A.
Complete NPI Record 1114226842
Physician Assistant - Medical in Alpharetta, GA
Quality Rating: 92.27 out of 100 score
NPI Status: Active since March 21, 2011
Contact Information
3400C OLD MILTON PKWY # 270
ALPHARETTA, GA
ZIP 30005
Phone: (770) 442-1911
Fax: (770) 663-8905
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Middle Name
- Provider Credential Text
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Sole Proprietor
- NPI Certification Date
Complete NPI Dataset
This page represents the complete record for NPI 1114226842. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1114226842
- The middle name of the provider, if the provider is an individual.
- Entity Type Code: 1
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Last Name Legal Name: CARTWRIGHT
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: BEVERLY
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: O'BRYAN
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Credential Text: P.A.
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider First Line Business Mailing Address: 1000 CRANBERRY CRK
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider Business Mailing Address City Name: ROSWELL
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: GA
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address Postal Code: 300762379
- The first name of the authorized official.
- Provider Business Mailing Address Country Code If outside U S : US
- The title or position of the authorized official.
- Provider Business Mailing Address Telephone Number: 7704421911
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
- Provider Business Mailing Address Fax Number: 7706638905
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
- Provider First Line Business Practice Location Address: 3400C OLD MILTON PKWY # 270
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: ALPHARETTA
- The fax number associated with the location address of the provider being identified.
- Provider Business Practice Location Address State Name: GA
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider Business Practice Location Address Postal Code: 300054438
- The date that a record was last updated or changed.
- Provider Business Practice Location Address Country Code If outside U S : US
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7704421911
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7706638905
- The fax number associated with the location address of the provider being identified.
- Provider Enumeration Date: 3/21/2011
- The date the provider was assigned a unique identifier (assigned an NPI).
- Last Update Date: 2/26/2021
- The date that a record was last updated or changed.
- Provider Gender Code: F
- The code designating the provider’s gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363AM0700X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- Is Sole Proprietor: N
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
- NPI Certification Date: 2/26/2021