Bethany Anderson, AGACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Atlanta, GA
NPI 1992538540 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1992538540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- RN247397 (GA)
- Practice address
- 5671 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-5003 - Phone
- (404) 778-6070
- NPI assigned
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
- Saint Joseph'S Hospital of Atlanta, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20241206002856 | GA | Practitioner - Nurse Practitioner | 3476089970 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN247397 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current |
Accepting new patients | |
| Crawford Long Hospital | Past |
Accepting new patients | |
| Emory Medical Care Foundation Inc | Past |
Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN247397 | GA | Yes |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-5003
Mailing address
305 Riversong Way
Alpharetta, GA 30022-1832
Phone (803) 571-4648
Other providers in Atlanta, GA
- Anita Anderson
- Annika M Anderson
- April Tatum Anderson
- Ashley D Anderson
- Barbara B Anderson
- Brett Garrett Anderson
- Brittany Young Anderson
- Caitlin Roberson Anderson
- Carla D Anderson
- Carla Sue Anderson
All providers in Atlanta, GA · Acute Care Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. 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.