Individual provider Active NPI

Bethany Foster Floyd, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1467037820
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3200 Northline Ave Ste 200
Greensboro, NC 27408-7602
Phone
(336) 545-5000
NPI assigned
Mar 16, 2021
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3200 Northline Ave Ste 200
Greensboro, NC 27408-7602

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255

Other practice location 1

4430 US Highway 220 N
Summerfield, NC 27358-9411
Phone (336) 545-5000

Other practice location 2

600 W Salisbury St
Asheboro, NC 27203-5590
Phone (336) 545-5000

Other practice location 3

1427 Freeway Dr
Reidsville, NC 27320-7105
Phone (336) 545-5000

Other identifiers 1

IdentifierTypeStateIssuer
0010-11166OtherNCLICENSE

Other names 1

  • Bethany Lagle Foster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210913002342 NC Practitioner - Physician Assistant 8325444532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Best Day Psychiatry and Counseling, PC Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Emergeortho PA Physician Assistant CurrentSince Apr 6, 2024 Accepting new patients
Emergeortho PA CurrentSince Apr 6, 2024 Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone 9103231543250

3200 Northline Ave
Ste 200
Greensboro, NC 27408
Phone (336) 544-3905

1427 Freeway Dr
Reidsville, NC 27320
Phone (336) 545-5020

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

4430 US Highway 220 N
Summerfield, NC 27358
Phone (336) 545-5002

150 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 934-5556

Interoperability endpoints

  • Direct secure messaging: bethany.floyd.1@847.direct.athenahealth.com
  • Direct secure messaging: bfloyd2755457@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1467037820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-220-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087602",
            "telephone_number": "336-545-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4430 US Highway 220 N",
            "address_purpose": "LOCATION",
            "city": "Summerfield",
            "state": "NC",
            "postal_code": "273589411",
            "country_code": "US",
            "telephone_number": "336-545-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Salisbury St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035590",
            "country_code": "US",
            "telephone_number": "336-545-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1427 Freeway Dr",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273207105",
            "country_code": "US",
            "telephone_number": "336-545-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "BETHANY",
        "middle_name": "FOSTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0010-11166",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "FOSTER",
            "middle_name": "LAGLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.