✓ Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) (207N00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

KNOX J BEASLEY, M.D. (NPI #1629364112)

Dermatology • FORT EUSTIS, VA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1629364112
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207N00000X (CMS 07)
Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)
Box 32 Service Location & ZIP+4
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, DEPT OF DERMATOLOGY, FORT EUSTIS, VA, 23604-1373
✓ 9-Digit EDI 837 ZIP+4 (23604-1373)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629364112 (KNOX J BEASLEY, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1629364112 (NPI-1 Individual Practitioner)
Provider / Legal NameKNOX J BEASLEY, M.D.
Plain-English SpecialtyBoard-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)
NUCC Code: 207N00000X (Dermatology)
Certifying / Licensing BodyAmerican Board of Dermatology (ABD)
Practice Location Address576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, DEPT OF DERMATOLOGY, FORT EUSTIS, VA, 23604-1373
Practice Telephone / FaxTel: (757) 314-7500
Administrative Mailing Address576 JEFFERSON AVE, FORT EUSTIS, VA, 23604-1373
Enumeration & Last SyncEnumerated: 2011-06-22 | CMS Record Updated: 2018-10-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, DEPT OF DERMATOLOGY, FORT EUSTIS, VA, 23604-1373

🗺️ Open in Google Maps 🏥 More Providers in FORT EUSTIS

Plain-English Taxonomy & CMS Crosswalk (207N00000X)

What Does Taxonomy Code 207N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207N00000X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 07 (Physician/Dermatology)
Certifying / Accrediting Authority: American Board of Dermatology (ABD)
Clinical Scope: Changing moles, skin rashes, severe acne, eczema, psoriasis, fungal infections, hair loss, or skin cancer checks.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KNOX J BEASLEY, M.D.)

Typical CPT / Diagnostic Procedures:
  • Full-Body Dermoscopy & Skin Cancer Screening
  • Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
  • Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)
Common Therapeutic Classes:
  • Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
  • Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
  • Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
208D00000X — General Practice
Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice
State: TN | License: 49508 | Primary: Secondary
207N00000X — Dermatology
Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)
State: TN | License: 49508 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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