DR. TERRY ADAM BEAL DO
NPI 1700453453
General Practice in Fort Campbell, KY
NPI Status: Active since June 09, 2021
Contact Information
5979 DESERT STORM AVE
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-4677
- Individual
- Male
- General Practice
- PECOS Enrolled
About TERRY BEAL
This page provides the complete NPI Profile along with additional information for Terry Beal, a primary care provider established in Fort Campbell, Kentucky with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1700453453 assigned on June 2021. The practitioner's primary taxonomy code is 208D00000X with license number 02006949A (IN). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1700453453
- Provider Name
- DR. TERRY ADAM BEAL DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223
- Location Phone
- (270) 798-4677
- Mailing Address
- 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223
- Mailing Phone
- (270) 798-4677
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2021
- Last Update Date
- 08-06-2024
- Code Navigator
A primary care provider (PCP) like Terry Beal sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 02006949A
- License State
- IN
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Medicare Participation & PECOS Enrollment Status
Terry Beal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 0 | 0 | 4 | 5 | 3 | 4 | 5 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 0 | 0 | 8 | 5 | 6 | 4 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 0 + 0 + 8 + 5 + 6 + 4 + 1 + 0 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1700453453 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1932281995 | DR. LEE CALVIN WEBB PT, DPT Individual | Physical Therapist (Orthopedic) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 956-0306 |
1518103258 | LATASHA WILKERSON LPN Individual | Licensed Practical Nurse | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 956-0303 |
1164668711 | LINDA ALLEN LPN Individual | Licensed Practical Nurse | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 956-0303 |
1922338672 | CHRISTOPHER JASON LEE PA-C Individual | Physician Assistant | 5979 DESERT STORM AVE LAPOINTE HEALTH CLINIC FORT CAMPBELL, KY 42223 (270) 420-0091 |
1104113018 | MRS. VLATKA SPLAJT PLYMALE D.O. Individual | General Practice | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-8698 |
1851596233 | BLANCHFIELD ARMY COMMUNITY HOSPITAL Organization | Clinic/Center (Military/U.S. Coast Guard Outpatient) | 5979 DESERT STORM AVE BUILDING 5979 FORT CAMPBELL, KY 42223 (270) 956-0350 |
1982812640 | BLANCHFIELD ARMY COMMUNITY HOSPITAL Organization | Clinic/Center (Military/U.S. Coast Guard Outpatient) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 363-0312 |
1063084390 | JESSICA JOHNS PHYSICIAN ASSISTANT Individual | Physician Assistant | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 798-4677 |
1134850647 | DR. KRISTEN E QUARTARARO DMD Individual | Dentist | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-2787 |
1447520630 | DR. SHARLEEN MARIE RUPP AU.D. Individual | Audiologist | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-9110 |
1033277967 | DR. DUKE PHU NGUYEN DMD Individual | Dentist (General Practice) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-8547 |
1245200104 | DR. JERROD LYNN SANDERS DDS Individual | Dentist (Prosthodontics) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-8563 |
1417927377 | DR. JILL ELISABETH SANDERS DDS Individual | Dentist (Periodontics) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-2787 |
1043901358 | MS. RUTH MOZELL ANDERSON REGISTERED NURSE Individual | Registered Nurse (Case Management) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-3856 |
1275225906 | CORINA MARIE WETTLAUFER Individual | Case Manager/Care Coordinator | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-1234 |
1689365983 | STEPHANIE ROSS CARRICO NURSE CASE MANAGER R Individual | Registered Nurse (Case Management) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-1498 |
1811689540 | MORIAH DREHER Individual | Case Manager/Care Coordinator | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-2570 |
1336905009 | ASHLEY LAINE GARRIGAN RN Individual | Registered Nurse (Case Management) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-4266 |
1962106385 | ALDAN WORTHY JAMES RACE I Individual | Physician Assistant | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 798-4677 |
1437995610 | GWEN KATHERINE GOSTOMSKI DMD Individual | Dentist | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 798-8751 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700453453, enumerated in the NPI registry as an "individual" on June 09, 2021
The provider is located at 5979 Desert Storm Ave Fort Campbell, Ky 42223 and the phone number is (270) 798-4677
The provider's speciality is General Practice with taxonomy code 208D00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 09, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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