Iceesho Bethel, RRT

Primary specialty

Geriatric Care Certified Respiratory TherapistTaxonomy code 2278G0305X

License

7058 Issued in GA

Practice address

2086 Jodeco Rd # 1674
McDonough, GA 30253-5220

Phone

(678) 763-9797

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1619227576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 JODECO RD # 1674",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535220",
            "telephone_number": "678-763-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 JODECO RD # 1674",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535220",
            "telephone_number": "678-763-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "ICEESHO",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Geriatric Care",
            "state": "GA",
            "license": "7058",
            "primary": true
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "GA",
            "license": "7058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Respiratory Therapist in McDonough, GA
• Providers in McDonough, GA by specialty
• Certified Respiratory Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.