Charles Joseph Betz, M.D. P.C.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

17130 Issued in GA

Practice address

100 John Maddox Dr NW
Rome, GA 30165-1431

Phone

(706) 235-3033

Fax

(706) 295-7993

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dade Health & Rehab, LLC

  • Skilled Nursing Facility
  • Trenton, GA
  • NPI 1750381737

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Dade Health & Rehab, LLC

  • Skilled Nursing Facility
  • Trenton, GA
  • NPI 1750381737
  NPD (past)
• Harborview Rome, LLC

  • Skilled Nursing Facility
  • Rome, GA
  • NPI 1649914441
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1437173556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JOHN MADDOX DR",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "706-235-3033",
            "fax_number": "706-295-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651431",
            "telephone_number": "706-235-3033",
            "fax_number": "706-295-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETZ",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.D. P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "17130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000132613A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J. Beninato, D.D.S.
• Bennett Orthodontics, LLC
• Inga Elita Bennett, NP-C
• William Bennett, DMD
• Krista Benter, PT
• Lara E Betz, PT
• Adam Bevilacqua, PA
• Niki Pareshkumar Bhavsar, M.D.
• Bio-Medical Applications of Georgia, Inc.
• Bio-Medical Applications of Georgia, Inc.

• Adult Medicine Physician in Rome, GA
• Providers in Rome, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.