BETTIS AFFINITY (NPI# 1750907184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750907184 |
| Entity Type | Organization |
| Organization Name | BETTIS AFFINITY |
| Practice Address |
3440 Blue Springs Rd Nw Ste 103 Kennesaw GA 30144-1035 |
| Practice Telephone | 6789568930 |
| Practice Fax Number | 6789568930 |
| Mailing Telephone | 6789568930 |
| Mailing Fax Number | 6789568930 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | ENID CHERISE PARKER (CLINICAL MANAGER) |
| Authorized Official Telephone | 6784999703 |
| Authorized Official Credential | BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| Y | 163W00000X | Registered Nurse | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NON-MEDICARE | 1871057224 | 01 |
| GA | 1871057224 | 05 |
| Other Name | Type Code |
|---|---|
| HOMEWATCH CAREGIVERS OF KENNESAW | Doing Business As Name - Organization |
| Street Address |
3440 BLUE SPRINGS RD NW STE 103 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871057224 | Bridget Bettis | In Home Supportive Care | 3440 Blue Springs Rd Nw Ste 103, Kennesaw, GA 30144-1035 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982261939 | Novlette Joan Mcfarlane Smith | Registered Nurse | 300 Chastain Center Blvd Nw Ste 345, Kennesaw, GA 30144-5557 | 2019-05-24 |
| 1962068874 | Kimberly Bell-buckingham | Registered Nurse | 3901 Brentmoor Ct Nw, Kennesaw, GA 30144-7120 | 2019-05-15 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1821530312 | Alice Kihara | Registered Nurse | 4575 Welshfield Ct Nw, Kennesaw, GA 30152-7751 | 2016-11-15 |
| 1952605040 | Kristen Dionne Smith | Registered Nurse | 4505 Heathrow Ct Nw, Kennesaw, GA 30152-7750 | 2011-01-04 |
| 1194038935 | Jeffrey Gaw Hwang | Registered Nurse | 3842 Glenlake Springs Ct Nw, Kennesaw, GA 30144-7123 | 2010-07-22 |
| 1578046165 | Eman Haddad | Registered Nurse | 1291 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2018-09-11 |
| 1760965354 | Donna Edwards | Registered Nurse | 1291 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2018-09-11 |
| 1972081735 | Chukwumeka Micheal Nwanze | Registered Nurse | 1291 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2018-08-03 |
| 1487132148 | Rita Faye Calhoun | Registered Nurse | 1291 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2018-08-03 |
| Find all providers in KENNESAW | ||||
Please comment or provide details below to improve the information on BETTIS AFFINITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.