Active NPI
Thanmayie Bethi
- Family Nurse Practitioner
- Cartersville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 246736
- Practice address
- 1124 N Tennessee St Ste 104
Cartersville, GA 30120-7938 - Phone
- (470) 684-1448
- NPI assigned
- Mar 17, 2020
- Last updated
- Oct 12, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 246736 | GA | Primary |
Addresses
Primary practice location
1124 N Tennessee St Ste 104
Cartersville, GA 30120-7938
Mailing address
1124 N Tennessee St Ste 104
Cartersville, GA 30120-7938
Phone (847) 420-1233
Other practice location 1
2782 N Cobb Pkwy Kennesaw, Ga 30152-3472
Kennesaw, GA 30152
Phone (770) 420-1092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Philadelphia Col of Osteo Med, Sewanee, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1625 Ridenour Blvd NW
Suite 305
Kennesaw, GA 30152-4467
Phone (470) 681-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246736 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Medical LLC | Current | Accepting new patients | |
| Qcpi-Villagemd, PC | Current | Accepting new patients | |
| V Physician Services LLC | Past | Accepting new patients |
Locations
702 SW 8th St
Bentonville, AR 72716
3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542
1619 Ridenour Blvd NW
Ste 305
Kennesaw, GA 30152
1625 Ridenour Blvd NW
Ste 305
Kennesaw, GA 30152
Phone (470) 681-9400
1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHIICD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Dallas, GA
- NPI 1356907695
-
- Geriatric Medicine (Internal Medicine) Physician
- Cartersville, GA
- NPI 1699441162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1962038307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 N TENNESSEE ST STE 104",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207938",
"telephone_number": "847-420-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 N TENNESSEE ST STE 104",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207938",
"telephone_number": "470-684-1448"
}
],
"practiceLocations": [
{
"address_1": "2782 N COBB PKWY KENNESAW, GA 30152-3472",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "30152",
"country_code": "US",
"telephone_number": "770-420-1092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETHI",
"first_name": "THANMAYIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2026-10-12",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "246736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.