Active NPI
Marc A. Betcher, PA
- Physician Assistant
- Greenville, SC
National Provider Identifier
1861146342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 975 W Faris Rd
Greenville, SC 29605-4241 - Phone
- (864) 729-8330
- Fax
- (864) 751-0479
- NPI assigned
- Feb 4, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
975 W Faris Rd
Greenville, SC 29605-4241
Mailing address
975 W Faris Rd
Greenville, SC 29605-4241
Phone (864) 729-8330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4318 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients |
Locations
1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404
7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383
Interoperability endpoints
- marc.betcher.1@10133.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.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
-
- Family Medicine Physician
- Goose Creek, SC
- NPI 1245271261
-
- Family Medicine Physician
- Summerville, SC
- NPI 1366123739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1861146342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054241",
"telephone_number": "864-729-8330",
"fax_number": "864-751-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054241",
"telephone_number": "864-729-8330",
"fax_number": "864-751-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETCHER",
"first_name": "MARC",
"middle_name": "A.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-04",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.