Tod H Bethea, M.D.
Individual provider Active NPI Family Medicine Physician · Cleveland, GA
NPI 1710979331 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1710979331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 042016 (GA)
- Practice address
- 2578 Helen Hwy
Cleveland, GA 30528-2848 - Phone
- (770) 219-9260
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Mercer University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Physicians Group Urgent Care LLC
Practice addresses (Care Compare)
2578 Helen Hwy
Cleveland, GA 30528-2848
Phone (706) 865-1234
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070323000306 | GA | Practitioner - Family Practice | 8729182100 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Family Medicine | Current |
Accepting new patients |
| Northeast Georgia Physicians Group Urgent Care LLC | Family Medicine | Current |
Accepting new patients |
| Georgia Heart Institute LLC | Past |
Accepting new patients |
Locations
1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195
536 Highway 441 S
Clayton, GA 30525
Phone (706) 782-7968
2578 Helen Hwy
Cleveland, GA 30528
Phone (706) 865-1234
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
12192 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1072
Interoperability endpoints
- tbethea29350@nghs.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042016 | GA | Yes |
Addresses
Primary practice location
2578 Helen Hwy
Cleveland, GA 30528-2848
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
536 Highway 441 S
Clayton, GA 30525-5423
Phone (706) 782-7968
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08CBCJS | Other | GA | QUICK CARE MEDICARE PIN |
| 000784638F | Other | GA | MEDICAID # QUICK CARE |
| 00784638E | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbethea29350@nghs.gadirect.net | Direct |
Other providers in Cleveland, GA
- Amanda Battles
- Kelsea N Bauerle
- Casey M Bechtold
- April Leighanne Beck
- Berkintayne Enterprises LLC
- Edsel Ray Black Sr.
- Emory Scott Blair
- Kellie Alexander Blue
- Board of Health White County
- Chanda C Bourgeois
All providers in Cleveland, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.