JEFFERY MICHAEL BETTAG MD
NPI 1639966310
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since April 24, 2025PECOS Enrolled
3930 THE VANDERBILT CLINIC 1301 MEDICAL CENTER DRIVE, NASHVILLE, TN 37232(615) 936-0060(615) 936-0223 Get Directions Write a Review

NPPES record last updated: April 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffery Michael Bettag Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERY MICHAEL BETTAG MD (NPI 1639966310) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639966310
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFERY MICHAEL BETTAGCredential: MD
Location Address3930 THE VANDERBILT CLINIC 1301 MEDICAL CENTER DRIVENashville, TN 37232-0001
Mailing Address3930 The Vanderbilt Clinic 1301 Medical Center DriveNashville, TN 37232-0001 · (615) 936-0060 · Fax (615) 936-0223
Fax(615) 936-0223
Sole ProprietorNo
Enumeration DateApril 24, 2025
Last NPPES UpdateApril 26, 2025
NPPES CertifiedApril 26, 2025
NPI 1639966310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3930 THE VANDERBILT CLINIC 1301 MEDICAL CENTER DRIVE, Nashville, TN 37232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffery Michael Bettag Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3930 THE VANDERBILT CLINIC 1301 MEDICAL CENTER DRIVE
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
3930 THE VANDERBILT CLINIC 1301 MEDICAL CENTER DRIVE
NASHVILLE, TN 37232

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 Jeffery Bettag's NPI number?

The NPI number for Jeffery Bettag is 1639966310. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Jeffery Bettag located?

Jeffery Bettag practices at 3930 The Vanderbilt Clinic 1301 Medical Center Drive, Nashville, TN 37232. The listed phone number is (615) 936-0060.

What is Jeffery Bettag's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeffery Bettag enrolled in Medicare?

Yes. Jeffery Bettag is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffery Bettag was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.