Kayleigh Betancourt, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6369 Issued in SC

Practice address

369 Halton Rd
Greenville, SC 29607-3405

Phone

(864) 479-8774

NPI assigned

Sep 30, 2021

Last updated

May 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, SC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbetancourt2699834@direct.texashealth.org

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.

• Texas Health Urgent Care

  dba Texas Health Breeze Urgent Care

  • Urgent Care Clinic/Center
  • Arlington, TX
  • NPI 1952915365

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• RM Medical, PC

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1477230498
  Medicare reassignment
• Texas Health Urgent Care

  dba Texas Health Breeze Urgent Care

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1104431527
  NPD
• Texas Health Urgent Care

  dba Texas Health Breeze Urgent Care

  • Urgent Care Clinic/Center
  • Allen, TX
  • NPI 1629724315
  NPD
• Texas Health Urgent Care

  dba Texas Health Breeze Urgent Care

  • Urgent Care Clinic/Center
  • McKinney, TX
  • NPI 1972118388
  NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1114699824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073405",
            "telephone_number": "864-479-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073405",
            "telephone_number": "864-479-8774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Century Pkwy NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303453125",
            "country_code": "US",
            "telephone_number": "470-322-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 S Highway 78 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750983981",
            "country_code": "US",
            "telephone_number": "469-495-9138",
            "fax_number": "469-495-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "KAYLEIGH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "6369",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbetancourt2699834@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2080 Heartland Suite 330",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sergiu Besliu, MD
• Bethany Mayes Bessom, M.D.
• Christopher Best
• Destiny Besu
• Sydney Beswick
• Marc A. Betcher, PA
• Sherry Renay Bethea, D.C.
• Naveen R Bethi, M.D.
• Emily Culbertson Betke, PHARMD
• Kelly Cox Betsill, APRN

• Physician Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.