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Johnathan Donald Debetta

Physician Assistant in Lillington, NC · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164003570

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Registry record

Entity type Individual (Type 1)
Name Johnathan Donald Debetta
Sex Male
Practice address 4350 Us 421 S, Lillington, NC, 27546
Enumeration date Apr 16, 2021
Last updated in NPPES Dec 7, 2021

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0010-11534 (NC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Johnathan Debetta?
The National Provider Identifier (NPI) for Johnathan Debetta is 1164003570, a Type 1 (individual) record in the CMS NPPES registry.
Where does Johnathan Debetta practice?
The practice location on file with NPPES is in Lillington, NC. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-07.