IndividualActive
Jason Beaver, PA-C
NPI 1124426457 · Physician Assistant · Tallahassee, FL
Provider details
- NPI number
- 1124426457
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2423 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone: (850) 877-8174
Fax: (844) 261-6839
Street-level locationGet directions
Mailing address
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Additional practice locations (1)
- 3334 Capital Medical Blvd Ste 400Tallahassee, FL 32308-4470Phone: (508) 778-1748Fax: (442) 616-8398
Registry dates
- Enumerated
- 2014-12-19
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.