NPI

Jacob Lyndon Beltz

NPI 1609200633

Read from the NPPES registry on October 26, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2013-08-27
Last updated
2026-08-30

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Specialties

Licenses

License GA
90876
License NC
2022-01243
License VA
0101284920

Location

Practice location
1120 15th St
City
Augusta GA
Postal code
30912-6220
Phone
(706) 721-8623

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Radiology, Vascular & Interventional Radiology providers in Augusta, GA. 19 with this primary taxonomy in the public file.

Other NPIs in Augusta, GA. 8,548 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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