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BETTY SUE PACE MD
NPI 1700195039
Pediatrics - Pediatric Hematology-Oncology in Augusta, GA

Active since October 05, 2010PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-6256 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Betty Sue Pace Md NPPES

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

BETTY SUE PACE MD (NPI 1700195039) is an individual pediatric hematology-oncology provider in Augusta, Georgia, licensed in Texas (L7511) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700195039
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameBETTY SUE PACECredential: MD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1499 Walton Way, Suite 1400Augusta, GA 30901-2602 · (706) 828-8402
Phone(706) 721-6256
Sole ProprietorNo
Enumeration DateOctober 5, 2010
✔ NPI 1700195039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TX · L7511
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
1120 15TH ST, Augusta, GA 30912
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betty Sue Pace 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Betty Pace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Au Medical Associates Inc
0.1 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Wellstar Medical Group, LLC
140 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
ROSA MARIA LOPEZ RINCON
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 446-5836

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 Betty Pace's NPI number?

The NPI number for Betty Pace is 1700195039. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Betty Pace located?

Betty Pace practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-6256.

What is Betty Pace's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Betty Pace enrolled in Medicare?

Yes. Betty Pace is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Betty Pace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betty Pace reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Betty Pace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Betty Pace was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.