Active NPI
Bridget Bettis
- In Home Supportive Care Agency
- Kennesaw, GA
National Provider Identifier
1871057224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 3440 Blue Springs Rd NW Ste 103
Kennesaw, GA 30144-1035 - Phone
- (678) 956-8930
- NPI assigned
- Jan 29, 2019
- Last updated
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3440 Blue Springs Rd NW Ste 103
Kennesaw, GA 30144-1035
Mailing address
3440 Blue Springs Rd NW Ste 103
Kennesaw, GA 30144-1035
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 |
|---|---|---|---|
| Bettis Affinity | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1871057224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 BLUE SPRINGS RD NW STE 103",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 BLUE SPRINGS RD NW STE 103",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441035",
"telephone_number": "678-956-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTIS",
"first_name": "BRIDGET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
- Dennis G Bergin, OD
- Avery Miller Berkhan, PHARMD, RPH
- Ericka Bermudez, BCABA
- Beti Homecare Services LLC
- Bettis Affinity (Homewatch Caregivers of Kennesaw)
- Namita Bhardwaj, MD
- Maria Bierman, PHARM.D.
- Big Idea Chiropractic Center LLC (Big Idea Chiropractic)
- Big Idea Family Chiropractic Center
- Sarah Bigelow, LAPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.