Individual provider Active NPI

Jamie Yvonne Bethel, APRN

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1760107049
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
30089 Issued in SC
Practice address
9600 Two Notch Rd Ste 5
Columbia, SC 29223-1612
Phone
(803) 232-9094
Fax
(562) 566-3421
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 30089 SC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 30089 SC

Addresses

Primary practice location

9600 Two Notch Rd Ste 5
Columbia, SC 29223-1612

Mailing address

9600 Two Notch Rd Ste 5
Columbia, SC 29223-1612
Phone (803) 232-9094

Other practice location 1

7700 N Kendall Dr Ste 807
Kendall, FL 33156-7697
Phone (803) 232-9094

Other practice location 2

276 5th Ave Rm 604
New York, NY 10001-4527
Phone (803) 232-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250723004423 SC Practitioner - Nurse Practitioner 0244746360 Reassigns benefits to 1 organization
I20260623003596 NY Practitioner - Nurse Practitioner 0244746360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

2030 Charlie Hall Blvd
Charleston, SC 29414-5830
Phone (800) 491-0909

9 Sunset Blvd
Beaufort, SC 29907-1465
Phone (800) 491-0909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
30089SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Jun 24, 2025 Accepting new patients
SC House Calls Inc CurrentSince Jun 24, 2025 Accepting new patients

Locations

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: jamie.bethel.1@7602.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1760107049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 TWO NOTCH RD STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231612",
            "telephone_number": "803-232-9094",
            "fax_number": "562-566-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 TWO NOTCH RD STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231612",
            "telephone_number": "803-232-9094",
            "fax_number": "562-566-3421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 N Kendall Dr Ste 807",
            "address_purpose": "LOCATION",
            "city": "Kendall",
            "state": "FL",
            "postal_code": "331567697",
            "country_code": "US",
            "telephone_number": "803-232-9094",
            "fax_number": "562-566-3421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "276 5th Ave Rm 604",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100014527",
            "country_code": "US",
            "telephone_number": "803-232-9094",
            "fax_number": "562-566-3421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "JAMIE",
        "middle_name": "YVONNE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "30089",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.