NPI age
19 years
Enumerated 2006-11-10
● Active Type 2 · Organization
Clinton S. Beverly MD Pc
Clinton S. Beverly MD Pc is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Beverly
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
440 Charter Blvd, Suite 3302
MacOn, GA 312104857
Mailing address
Po Box 4047
MacOn, GA 312084047
Authorized official
Clinton S Beverly, M.D.
Owner
📞 4784773112
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Billie Jackson, M.D. Dermatology NPI 1235232430
- Consuela Williams-Holliday, DPM Podiatrist NPI 1780602011
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DC0201 | RAIL ROAD MEDICARE GRP # |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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