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

Mr. Theo Joseph Beach Jr., PA-C

Individual provider Vascular & Interventional Radiology Physician · NPI 1710533286

Mr. Theo Joseph Beach Jr., PA-C is a Physician Assistant in Smithfield, North Carolina. Qualified in 2019, 7 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

131 E Market St
Smithfield, NC 27577-3915
Phone: (919) 934-5441
Show map & directions

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

Additional practice locations (1)

  • 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 — (910) 486-5700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09318 (NC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 0010-09318 (NC)

Record details

NPI number1710533286
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare