John Clements Betancourt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9800014 Issued in NC

Practice address

730 Malcolm Blvd Ste 150
Connelly Springs, NC 28612

Phone

(828) 874-4600

Fax

(828) 874-8900

NPI assigned

Nov 21, 2006

Last updated

Jun 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: john.betancourt.1@18322.direct.athenahealth.com

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.

• Hilltop Family Medicine, PA

  • Family Medicine Physician
  • Rutherford College, NC
  • NPI 1457503880
  Authorized official Same address or phone
• John C Betancourt MD PLLC

  dba Hilltop Family Medicine

  • Family Medicine Physician
  • Valdese, NC
  • NPI 1962685040
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1710052535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MALCOLM BLVD STE 150",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286128079",
            "telephone_number": "828-874-4600",
            "fax_number": "828-874-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MALCOLM BLVD STE 150",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "28612",
            "telephone_number": "828-874-4600",
            "fax_number": "828-874-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 S Sterling St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554044",
            "country_code": "US",
            "telephone_number": "828-580-6753",
            "fax_number": "828-580-6759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 W Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554450",
            "country_code": "US",
            "telephone_number": "828-580-3278",
            "fax_number": "828-580-3279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "JOHN",
        "middle_name": "CLEMENTS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9800014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710052535",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891134Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Vanhoy Absher, NP-C
• Sharalyn C Anthony, FNP-C
• Sameer Mirza Baig, MD
• Michael Brian Bauer, M.D.
• Kaitlyn Brooke Berry
• Blue Ridge Healthcare Medical Group, Inc (The Cancer Center at Blue Ridge Valdese)
• Blue Ridge Healthcare Medical Group, Inc. (Valdese Medical Associates)
• Blue Ridge Healthcare Medical Group, Inc. (Jayendrakumar I Patel, MD)
• Blue Ridge Healthcare Medical Group, Inc. (Women's Health Group-Valdese)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge HealthCare Urology)

• Family Medicine Physician in Connelly Springs, NC
• Providers in Connelly Springs, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.