Active NPI
Jeffrey Bethea
- Homemaker
- Marion, SC
National Provider Identifier
1750879144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 410 N Main St
Marion, SC 29571-3030 - Phone
- (843) 765-3212
- NPI assigned
- May 1, 2018
- Last updated
- May 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
410 N Main St
Marion, SC 29571-3030
Mailing address
410 N Main St
Marion, SC 29571-3030
Phone (843) 765-3212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX1183 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Home Health Agency | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Marion, SC
- NPI 1275020562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1750879144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295713030",
"telephone_number": "843-765-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295713030",
"telephone_number": "843-765-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEA",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX1183",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.