Michael Betsayad
Individual provider Active NPI Family Medicine Physician · Prattville, AL
NPI 1821745977 · NPPES record last updated Mar 8, 2022
Key facts
- NPI
- 1821745977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- AL17565 (AL)
- Practice address
- 1595 E Main St
Prattville, AL 36066-5509 - Phone
- (334) 358-6540
- NPI assigned
- Mar 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern NP Associates LLC
Practice addresses (Care Compare)
611 W Market St
Athens, AL 35611-2460
Phone (205) 343-7300
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220725001920 | AL | Practitioner - Nurse Practitioner | 8527449339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL17565 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern NP Associates, LLC | Current |
Accepting new patients |
Locations
611 W Market St
Athens, AL 35611
Phone (256) 232-1620
22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712
931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AL17565 | AL | Yes |
Addresses
Primary practice location
1595 E Main St
Prattville, AL 36066-5509
Mailing address
1595 E Main St
Prattville, AL 36066-5509
Other providers in Prattville, AL
- Dana Jaycilen Beck
- Behavior Education Consultation and Training Services LLC
- Naresh Bellam
- Kacie Nicole Bennington
- Faith Anthony Berryman
- Hannah Temple Betts
- Bio-Medical Applications of Alabama, Inc.
- Nancy Mims Bishop
- Julia Blackwell
- Katie Blackwell
All providers in Prattville, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2022. 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.