Individual provider Active NPI

Barbara Betancourt, DC

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1093526089
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011310 Issued in GA
Practice address
3840 Peachtree Industrial Blvd Ste 210
Duluth, GA 30096-5032
Phone
(770) 497-9700
Fax
(770) 497-0795
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011310 GA Primary

Addresses

Primary practice location

3840 Peachtree Industrial Blvd Ste 210
Duluth, GA 30096-5032

Mailing address

3840 Peachtree Industrial Blvd Ste 210
Duluth, GA 30096-5032
Phone (770) 497-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260115001559 GA Practitioner - Chiropractic 6103302526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

166 Autumn Ridge TRL
Roswell, GA 30076-4415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011310GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cortes Chiropractic, LLC Chiropractor Current Accepting new patients
Cortes Chiropractic, LLC Chiropractor CurrentSince Nov 12, 2025 Accepting new patients
Robert Grace Health Center, Inc Chiropractor PastSince Jan 19, 2025 Accepting new patients

Locations

1100 Turner Rd
Ste D
Cumming, GA 30041
Phone (787) 525-8307

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1093526089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 210",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965032",
            "telephone_number": "770-497-9700",
            "fax_number": "770-497-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 210",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965032",
            "telephone_number": "770-497-9700",
            "fax_number": "770-497-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "BARBARA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.