Individual provider Active NPI

William Lafayette Betsill, M.D.

  • Clinical Medical Laboratory
  • Alpharetta, GA
National Provider Identifier
1043432719
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33598 Issued in KY
Practice address
6240 Shiloh Rd
Alpharetta, GA 30005-8347
Phone
(855) 422-5628
Fax
(205) 579-9387
NPI assigned
May 3, 2007
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33598 KY Primary

Addresses

Primary practice location

6240 Shiloh Rd
Alpharetta, GA 30005-8347

Mailing address

6240 Shiloh Rd
Alpharetta, GA 30005-8347

Other practice location 1

4500 Conaem Dr
Louisville, KY 40213-1961
Phone (502) 456-4700 ext. 3805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306001657 GA Practitioner - PathologyPractitioner - Dermatology 2062305733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Medical University of South Carolina College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6240 Shiloh Rd
Alpharetta, GA 30005-8347
Phone (855) 245-2256

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bakotic Pathology Associates, LLC Clinical Medical Laboratory Current Accepting new patients
Bakotic Pathology Associates, LLC CurrentSince Feb 4, 2019 Accepting new patients
Bakotic Pathology Associates, LLC Clinical Medical Laboratory CurrentSince Feb 4, 2019 Accepting new patients
Coastal Carolina Pathology, PA PastSince Jul 24, 2022 Accepting new patients
Carolinas Pathology Group, PA Past Accepting new patients
Clinical Associates, LLC Clinical Medical Laboratory PastSince May 16, 2021 Accepting new patients
Laboratory Corporation of America Clinical Medical Laboratory Past Accepting new patients

Locations

6240 Shiloh Rd
Alpharetta, GA 30005
Phone (855) 245-2256

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1043432719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 SHILOH RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058347",
            "fax_number": "205-579-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 SHILOH RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058347",
            "telephone_number": "855-422-5628",
            "fax_number": "205-579-9387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Conaem Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402131961",
            "country_code": "US",
            "telephone_number": "502-456-4700 x3805",
            "fax_number": "502-452-6254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETSILL",
        "first_name": "WILLIAM",
        "middle_name": "LAFAYETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "33598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.