Active NPI
Jason Jamier Bethea, M.D.
- Neurology Physician
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2018-01304
- Practice address
- 3330 Siskey Pkwy
Matthews, NC 28105-3222 - Phone
- (704) 316-9001
- Fax
- (704) 316-9008
- NPI assigned
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2018-01304 | NC | Primary |
Addresses
Primary practice location
3330 Siskey Pkwy
Matthews, NC 28105-3222
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-9001
Other practice location 1
5 Bermuda Ct
Durham, NC 27703-6619
Phone (843) 433-1149
Other practice location 2
1401 Matthews Township Pkwy Ste 312
Matthews, NC 28105-5403
Phone (704) 316-9001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbethea829374@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10305 Hamptons Park Dr
Suite 101
Huntersville, NC 28078-7221
Phone (704) 384-5520
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
- Novant Health Huntersville Medical Center
- Novant Health Matthews Medical Center
- Novant Health Forsyth Medical Center
- Novant Health New Hanover Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-01304 | NC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Neurology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437
10305 Hamptons Park Dr
Ste 101
Huntersville, NC 28078
Phone (704) 316-5388
1401 Matthews Township Pkwy
Ste 312
Matthews, NC 28105
Phone (704) 316-9001
3330 Siskey Pkwy
Matthews, NC 28105
Phone (704) 316-2127
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- TN PPO
Interoperability endpoints
- jbethea829374@direct.novanthealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Neurology Physician
- Matthews, NC
- NPI 1083666887
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1013335629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-316-9001",
"fax_number": "704-316-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 SISKEY PKWY",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281053222",
"telephone_number": "704-316-9001",
"fax_number": "704-316-9008"
}
],
"practiceLocations": [
{
"address_1": "5 Bermuda Ct",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277036619",
"country_code": "US",
"telephone_number": "843-433-1149",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Matthews Township Pkwy Ste 312",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281055403",
"country_code": "US",
"telephone_number": "704-316-9001",
"fax_number": "704-316-9008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETHEA",
"first_name": "JASON",
"middle_name": "JAMIER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2018-01304",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbethea829374@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1401 Matthews Township Pkwy Ste 312",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281055403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.