P Praxis·MD
● Active Type 1 · Individual

DR. Jacob Lyndon Beltz, MD

Radiology·Augusta, GA· NPI 1609200633 · Enumerated 2013 · 12 years on NPI
Beltz is 1 of 18 radiology providers in Augusta and 1 of 160 in Georgia.
NPI age
12 years
Enumerated 2013-08-27
Primary specialty
Radiology
Plus 4 subspecialties
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 160 active radiology providers in Georgia.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
3
In the 64% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Practice location
1120 15th St
Augusta, GA 309126220
📞 7067218623
Mailing address
1120 15th St # Or6000
Augusta, GA 309120004

Additional practice locations

6 secondary locations on file with NPPES.

Location 2
1001 Sam Perry Blvd
Fredericksburg, VA 224014453
📞 5407415610
Location 3
101 Manning Dr
Chapel Hill, NC 275144220
📞 9839741000
Location 4
1201 Sam Perry Blvd Ste 201
Fredericksburg, VA 224014491
📞 5407415610
Location 5
630 13th St Ste 250
Augusta, GA 309011017
📞 7067242500fax 7067315289
Location 6
3623 J Dewey Gray Cir Ste 100
Augusta, GA 309096511
📞 7068549932fax 7068549304
Location 7
4700 Waters Ave, Hoskins Building, Floor 1
Savannah, GA 314046220
📞 9123501723

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    GA license #90876VA license #0101284920 taxonomy 2085R0204X
  • General Practice
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #90876 taxonomy 208D00000X
  • Radiology
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    VA license #0101284920 taxonomy 2085R0202X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Identifiers

TypeValueNotes
01 (GA) 90876 GEORGIA MEDICAL COMPOSITE BOARD
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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