Individual provider Active NPI

Thanmayie Bethi

  • Family Nurse Practitioner
  • Cartersville, GA
National Provider Identifier
1962038307
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
246736 Issued in GA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018001398 GA Practitioner - Nurse Practitioner 4880060771 Reassigns benefits to 1 organization

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
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

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

LicenseStateTypeSpecialty
246736GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical LLC Current Accepting new patients
Qcpi-Villagemd, PC CurrentSince Aug 26, 2024 Accepting new patients
V Physician Services LLC PastSince Feb 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.