Individual provider Active NPI

Tod H Bethea, M.D.

  • Family Medicine Physician
  • Cleveland, GA
National Provider Identifier
1710979331
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042016 Issued in GA
Practice address
2578 Helen Hwy
Cleveland, GA 30528-2848
Phone
(770) 219-9260
NPI assigned
Aug 19, 2005
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042016 GA Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbethea29350@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070323000306 GA Practitioner - Family Practice 8729182100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 3274535687, 62 clinicians

Practice addresses (Care Compare)

2578 Helen Hwy
Cleveland, GA 30528-2848
Phone (706) 865-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.71
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Urgent Care LLC Family Medicine CurrentSince Oct 8, 2015 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Jul 1, 2002 Accepting new patients
Georgia Heart Institute LLC PastSince Dec 1, 2025 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

  • Direct secure messaging: tbethea29350@nghs.gadirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1710979331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 HELEN HWY",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305282848",
            "telephone_number": "770-219-9260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 Highway 441 S",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "GA",
            "postal_code": "305255423",
            "country_code": "US",
            "telephone_number": "706-782-7968",
            "fax_number": "706-212-7947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHEA",
        "first_name": "TOD",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-12-15",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbethea29350@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2578 Helen Hwy",
            "city": "Cleveland",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305282848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, GA

Sources for this page

Verify at the official NPI Registry.