Individual provider Active NPI

Betsy Daugharty Clifton, FNP-C

  • Family Nurse Practitioner
  • Homerville, GA
National Provider Identifier
1063961522
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN149472 Issued in GA
Practice address
180 Carswell St
Homerville, GA 31634
Phone
(912) 487-1654
Fax
(912) 487-1659
NPI assigned
Sep 26, 2016
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN149472 GA Primary

Addresses

Primary practice location

180 Carswell St
Homerville, GA 31634

Mailing address

180 Carswell St
Homerville, GA 31634-2413
Phone (912) 487-1654

Other practice location 1

380 N Church St
Homerville, GA 31634-2452
Phone (912) 487-1737

Other names 1

  • Betsy Marie Daugharty Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425002125 GA Practitioner - Nurse Practitioner 3678850872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel B Cobarrubias MD, PCGroup PAC ID 3072639863, 2 clinicians

Practice addresses (Care Compare)

180 Carswell St
Homerville, GA 31634-2413
Phone (912) 487-1654

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
76.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel B Cobarrubias MD, PC CurrentSince Jul 16, 2018 Accepting new patients
South Georgia Medical Services CurrentSince Mar 15, 2017 Accepting new patients
Suwannee River Medical PastSince Apr 9, 2023 Accepting new patients
Thrive Medical Care, LLC PastSince Jul 16, 2018 Accepting new patients

Locations

180 Carswell St
Homerville, GA 31634
Phone (912) 487-1654

30 W Forest Ave
Homerville, GA 31634
Phone (912) 487-1737

380 N Church St
Homerville, GA 31634
Phone (912) 487-1737

120 Broadway
Fl 35
New York, NY 10271

Interoperability endpoints

  • Direct secure messaging: bclifton@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJHBBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJHBBD/Endpoint/GJHBBD

Organizations & group practices 4

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1063961522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CARSWELL ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342413",
            "telephone_number": "912-487-1654",
            "fax_number": "912-487-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CARSWELL ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "31634",
            "telephone_number": "912-487-1654",
            "fax_number": "912-487-1659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 N Church St",
            "address_purpose": "LOCATION",
            "city": "Homerville",
            "state": "GA",
            "postal_code": "316342452",
            "country_code": "US",
            "telephone_number": "912-487-1737",
            "fax_number": "912-487-1739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "BETSY",
        "middle_name": "DAUGHARTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN149472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "DAUGHARTY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homerville, GA

Sources for this page

Verify at the official NPI Registry.