Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Marvin Bethune

Individual provider Nurse Practitioner · NPI 1518593219

John Marvin Bethune is a Nurse Practitioner in Waxhaw, North Carolina. Qualified in 2020, 6 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
6
Licensed in
NC, SC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1530 Providence Rd S
Waxhaw, NC 28173-8313
Phone: (704) 627-8365
Fax: (704) 627-8366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 Herlong Ave S, Rock Hill, SC 29732-1158 — (803) 329-1234

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5014484 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence APN.23980APRN (SC)

Record details

NPI number1518593219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2020
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023
Mailing addressPo Box 601843, Charlotte, NC 28260-1843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Waxhaw