Betsy Sue Kirkpatrick Mitcham, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN104197 Issued in GA

Practice address

615 S Hughes Blvd
Elizabeth City, NC 27909-4785

Phone

(252) 338-3111

NPI assigned

Nov 13, 2013

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

Other names 1

• Betsy Sue Kirkpatrick Mitcham Professional name

Medicare fee-for-service enrollment

Enrolled in GA, NC2 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

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Matrix Occupational Health P.C.

  • Urgent Care Clinic/Center
  • Fayetteville, NC
  • NPI 1144279670
  Medicare reassignment Care Compare group NPD
• Gwinnett Physician Group, LLC

  • Internal Medicine Physician
  • Lawrenceville, GA
  • NPI 1578574661
  Medicare reassignment NPD
• Medical Group of Central Georgia, LLC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1083860779
  Medicare reassignment NPD
• Northeast Georgia Diagnostic Associates and Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gainesville, GA
  • NPI 1144719311
  Medicare reassignment NPD
• Ocmulgee Physicians, LLC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1629346416
  Medicare reassignment NPD
• Houston Medical Associates, LLC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1013179670
  NPD

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1417387382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094785",
            "telephone_number": "252-338-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094785",
            "telephone_number": "252-338-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHAM",
        "first_name": "BETSY",
        "middle_name": "SUE KIRKPATRICK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN104197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "MITCHAM",
            "middle_name": "SUE KIRKPATRICK",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Gerald Mimlitsch
• Miracle Makers Inc
• Ananya Mishra, MD
• Demetria Mitchell
• Valerie Mitchell, M.S. CCC-SLP
• Peter V Mitrev, M.D.
• Christy Mode, RBT
• Heidi Mollenkopf, MSW, LCSWA

• Family Nurse Practitioner in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.