Provider Demographics
NPI:1699773234
Name:BEER, JOANNE GILBY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:GILBY
Last Name:BEER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 TIMBERLAND RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-4165
Mailing Address - Country:US
Mailing Address - Phone:404-320-1467
Mailing Address - Fax:
Practice Address - Street 1:3292 MOUNTAIN DR STE A
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1102
Practice Address - Country:US
Practice Address - Phone:404-294-8180
Practice Address - Fax:404-294-8188
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003332363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA97BBFJNMedicare ID - Type Unspecified