MRS. BETHANY AMANDA PETERSON (NP-C) – Family Nurse Practitioner, NPI 1144827957

MRS. BETHANY AMANDA PETERSON (NP-C) is a healthcare provider. based in Cataula, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 1-130643 (AL). The NPI Number for MRS. BETHANY AMANDA PETERSON (NP-C) is 1144827957

Main info

Female
7 Years Of Experience
Name
MRS. BETHANY AMANDA PETERSON (NP-C)
NPI
1144827957
Phone
(706) 570-3965
Address
PO BOX 776
Enumeration Date
5 October 2020
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063221486
Graduation Year
2019 (7 years ago)
PAC ID
6103225826
Group Practice PAC ID
2961944129
Professional Enrollment ID
I20210618001420
Address ID
AL362742603RO4459X431X300

Contacts

Main Contact
https://dva-portal.et1087.epichosted.com/vpn/index.html
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:5State licenses:2Other names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. BETHANY AMANDA PETERSON (NP-C)

  • PO BOX 776

    CATAULA, GA 318040776

    Phone: (706) 570-3965

    Type: Mailing

  • 1216 Stark Ave

    Columbus, GA 319062500

    Phone: (706) 320-0801

    Fax: (706) 324-3419

    Type: Location

  • 42 Mitylene Park Ln

    Montgomery, AL 361177306

    Phone: (334) 603-6626

    Fax: (334) 239-7808

    Type: Location

  • 3301 STADIUM DR

    PHENIX CITY, AL 368673115

    Phone: (334) 297-0237

    Type: Location

  • 3368 Highway 280 Ste 120

    Alexander City, AL 350103375

    Phone: (256) 392-5282

    Fax: (706) 324-3419

    Type: Location

  • 6228 BRADLEY PARK DR STE A

    COLUMBUS, GA 319043605

    Phone: (706) 322-1486

    Fax: (706) 324-3419

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,642.

Total Amount is formed as General ($1,642) + Research ($0) + Ownership ($0) = $1,642.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($483).

Total Amount

$1,642

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,642

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210601001290INurse PractitionerGATBD
I20210618001420INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16664$0
99213Established patient office or other outpatient visit, 20-29 minutes3735$0
99214Established patient office or other outpatient visit, 30-39 minutes3330$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2524$0
View full utilization report →

Insurance plans in this area (ZIP 31804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961944129View full group profile
NameSpecialtyState
N E P H R O L O G YGA
Internal Medicine, NephrologyGA
Nurse PractitionerGA
N E P H R O L O G YGA
N E P H R O L O G YGA
N E P H R O L O G YGA
N E P H R O L O G YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I verify MRS. BETHANY AMANDA PETERSON (NP-C) with an NPI only?
You can start verification with NPI 1144827957 for MRS. BETHANY AMANDA PETERSON (NP-C), then check state licensing separately.
Does CMS list MRS. BETHANY AMANDA PETERSON (NP-C) as active?
Yes — MRS. BETHANY AMANDA PETERSON (NP-C) is active in the NPI listing used on this page.
What taxonomy line describes MRS. BETHANY AMANDA PETERSON (NP-C)?
For research purposes, treat MRS. BETHANY AMANDA PETERSON (NP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. BETHANY AMANDA PETERSON (NP-C)?
MRS. BETHANY AMANDA PETERSON (NP-C)'s geographic hint is Cataula, Georgia in our summary view.
Is the information about MRS. BETHANY AMANDA PETERSON (NP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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