Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jackie Beene, MD

Individual provider Family Medicine Physician · NPI 1841296548

Dr. Jackie Beene, MD is a Family Practice in Springfield, Missouri. Graduated from University of Arkansas College of Medicine in 1985, 41 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
41
Trained at
University of Arkansas College of Medicine
Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1540 E Evergreen St
Springfield, MO 65803-4300
Phone: (417) 823-2900
Fax: (417) 886-2774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 327 E Airport Dr, Carthage, MO 64836-3402 — (417) 237-0604
  • 112 N Webb St, Webb City, MO 64870-1916 — (417) 673-0366

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R1I02 (MO)

Record details

NPI number1841296548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2005
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address1540 E Evergreen St, Springfield, MO 65803-4300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Sgoh Acquisition Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield