Individual provider Active NPI

Bettina Johnson, APRN

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1861811689
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18770 Issued in SC
Practice address
2210 Laurens Rd
Greenville, SC 29607-3224
Phone
(866) 389-2727
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18770 SC Primary

Addresses

Primary practice location

2210 Laurens Rd
Greenville, SC 29607-3224

Mailing address

2210 Laurens Rd
Greenville, SC 29607-3224
Phone (866) 389-2727

Other practice location 1

300 W Butler Rd
Mauldin, SC 29662-2585
Phone (864) 329-8174

Other practice location 2

698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (866) 389-2727

Other practice location 3

3 Saint Francis Dr Ste 300
Greenville, SC 29601-3972
Phone (864) 233-8063

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807001283 SC Practitioner - Nurse Practitioner 8820215387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3 Saint Francis Dr
Greenville, SC 29601-3972

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Feb 9, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince May 27, 2023 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

2210 Laurens Rd
Greenville, SC 29607
Phone (864) 288-8280

3 Saint Francis Dr
Ste 300
Greenville, SC 29601
Phone (864) 233-8063

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

Interoperability endpoints

  • Direct secure messaging: bjohnson2775873@direct.bsmhealth.org

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.

Hospital & facility affiliations 6

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1861811689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LAURENS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073224",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LAURENS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073224",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Mauldin",
            "state": "SC",
            "postal_code": "296622585",
            "country_code": "US",
            "telephone_number": "864-329-8174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "698 Fairview Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296806708",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Saint Francis Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013972",
            "country_code": "US",
            "telephone_number": "864-233-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BETTINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.