Johnathan Debetta
NPI 1164003570 · Physician Assistant · Lillington, NC
Johnathan Debetta is a Physician Assistant provider in Lillington, NC (NPI 1164003570).
Provider details
- NPI number
- 1164003570
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-11534 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Frequently asked questions
- What is Johnathan Debetta's NPI number?
- Johnathan Debetta's National Provider Identifier (NPI) is 1164003570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnathan Debetta's specialty?
- Johnathan Debetta is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Johnathan Debetta located?
- Johnathan Debetta's practice location on file with NPPES is 4350 US 421 S, Lillington, NC 27546-6760.
- What is Johnathan Debetta's phone number?
- The practice phone number listed in the NPPES registry for Johnathan Debetta is (910) 893-1210.
- Is Johnathan Debetta's NPI active?
- Yes — Johnathan Debetta's NPI (1164003570) is active in the NPPES registry as of the last update on 2021-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.