Betty Li, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

95569 Issued in GA

Practice address

4150 Deputy Bill Cantrell Memorial Rd. Suite 290
Cumming, GA 30040

Phone

(404) 446-0600

Fax

(404) 446-0601

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Newco Gi LLCGroup PAC ID 6204136583, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Newco Gi LLC

  dba GI North

  • Gastroenterology Physician
  • Cumming, GA
  • NPI 1073999066
  Medicare reassignment Care Compare group
• Gi North Endoscopy.LLC

  • Ambulatory Surgical Clinic/Center
  • Cumming, GA
  • NPI 1326555491
  Medicare reassignment NPD
• Gi North PC

  • Gastroenterology Physician
  • Cumming, GA
  • NPI 1750689964
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  dba Northside Hospital Forsyth

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1083144133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD. SUITE 290",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "404-446-0600",
            "fax_number": "404-446-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD. SUITE 290",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "404-446-0600",
            "fax_number": "404-446-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "BETTY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "95569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Levine, D.O.
• Antionette Lewis, RBT
• Clay Lewis, PHARMD
• Jane Wellesley Lewis, D.M.D
• Kylie Lane Lewis, D.D.S.
• Life Wisdom Counseling LLC
• Lifecare Christian Counseling Inc
• Douglas Lightstone, D.C.
• Limitless ABA
• Xuechu Lin

• Gastroenterology Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.