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Dr. Terry Adam Beal , DO

General Practice β€’ Fort Campbell, KY

Active NPI 1700453453 Individual Practitioner Male Practitioner
Practice location in NPPES

5979 Desert Storm Ave
Fort Campbell, KY 422235514

Call 2707984677 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5979 Desert Storm Ave

Fort Campbell, KY 422235514

Telephone 2707984677
Organization at the Same NPPES Address or Phone
Ach Blanchfield-Ft Campbell Facility NPI 1366549115

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Beal has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Beal as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Campbell and Kentucky

9 active clinicians are listed under General Practice with a practice address in Fort Campbell, KY (122 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-06
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES IN 02006949A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - FAMILY PRACTICE

Medicare Enrollment ID

I20221213000924

Enrollment State Jurisdiction

NC

PECOS Control ID

2163891276

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Regina Goldwire , FNP-BC

Nurse Practitioner

NPI 1619304318

Family Nurse Practitioner (Board Certified)

Timothy Jennings , PA-C

Physician Assistant

NPI 1750496378

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 06, 2024

Registered at 5979 DESERT STORM AVE, FORT CAMPBELL, KY 422235514 (Tel: 2707984677)

πŸ“
Updated Business Mailing Address August 06, 2024

Registered at 5979 DESERT STORM AVE, FORT CAMPBELL, KY 422235514 (Tel: 2707984677)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2023

General Practice (license number reported to NPPES: IN 02006949A)

βœ…
NPI Profile Active June 09, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2021

Registered at 2817 REILLY ST, FORT BRAGG, NC 283107324 (Tel: 9109078246)

πŸ“
Business Mailing Address (Initial Record) June 09, 2021

Registered at 7510 TELFAIR DR, FAYETTEVILLE, NC 283031948 (Tel: 2605193546)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2021

Recorded as TERRY BEAL, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 09, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700453453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2021
Last Update: August 06, 2024
Sole Proprietor: No

Mailing Address

5979 Desert Storm Ave

Fort Campbell, KY 422235514

Phone: 2707984677

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.