BETHANY MISSIONARY BAPTIST CHURCH
NPI 1164353405
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Ty Ty, GA
About Bethany Missionary Baptist Church NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY MISSIONARY BAPTIST CHURCH (NPI 1164353405) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Ty Ty, Georgia and active in the NPI registry since May 2026. The organization lists Samuel Lee Pridgon, Pastor/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bethany Missionary Baptist Church's NPI number?
The NPI number for Bethany Missionary Baptist Church is 1164353405. It was assigned to this organization in the NPPES registry on May 26, 2026.
Where is Bethany Missionary Baptist Church located?
Bethany Missionary Baptist Church is located at 146 Ty Ty Sycamore Rd, Ty Ty, GA 31795. The listed phone number is (678) 986-1436.
What is Bethany Missionary Baptist Church's specialty?
The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.
When was this NPI record last updated?
The NPPES record for Bethany Missionary Baptist Church was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.