Bethany Whitener, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Copperhill, TN
NPI 1902212913 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1902212913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN138301 (GA)
- Practice address
- 104 Grand Ave
Copperhill, TN 37317 - Phone
- (423) 548-1000
- Fax
- (423) 548-1002
- NPI assigned
- Jul 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Grace Health Services PLLC
Practice addresses (Care Compare)
340 Main St
Copperhill, TN 37317-4111
Phone (423) 548-1000
Hospital & facility affiliations
- Union General Hospital
- Blue Ridge Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, TN
- 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 |
|---|---|---|---|---|
| I20151207001837 | GA | Practitioner - Nurse Practitioner | 6002036217 | Reassigns benefits to 1 organization |
| I20180726003050 | TN | Practitioner - Nurse Practitioner | 6002036217 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Health Services PLLC | Current |
Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current |
Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current |
Accepting new patients | |
| Cardiac Disease Specialists, PC | Past | Accepting new patients |
Locations
14244 Highway 515 N
Unit 100
Ellijay, GA 30536
Phone (404) 996-6596
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
340 Main St
Copperhill, TN 37317
Phone (423) 548-1000
104 Grand Ave
Copperhill, TN 37317
Phone (423) 548-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN138301 | GA | Yes |
Addresses
Primary practice location
104 Grand Ave
Copperhill, TN 37317
Mailing address
PO Box 1175
Copperhill, TN 37317-1175
Phone (423) 548-1000
Other practice location 1
340 Main Street
Copperhill, TN 37317-3731
Phone (423) 548-1000
Other providers in Copperhill, TN
- Richard Tanner
- Roy Allen Tipton
- Stephen M. Treon
- Tri-State Center for Hope and Healing LLC
- Allen Stephen Uhlik
- Toshia Worley
- Susan Inez Wynne
All providers in Copperhill, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. 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.