BETHANY MEDICAL CENTER
NPI 1003382839
Family Medicine in Greensboro, NC

Active since October 19, 2018CLIA Certified · 13 labs
3801 W MARKET ST, GREENSBORO, NC 27407(336) 883-0029 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Sep 10, 2021, Feb 12, 2021 and 1 more (4 updates tracked since 2018).

About Bethany Medical Center NPPES

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

BETHANY MEDICAL CENTER (NPI 1003382839) is a healthcare organization registered as a family medicine in Greensboro, North Carolina and active in the NPI registry since October 2018. The organization holds 13 active CLIA laboratory certificates and lists Lenin J Peters, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003382839
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBETHANY MEDICAL CENTER
Location Address3801 W MARKET STGreensboro, NC 27407-1301
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 883-0029 · Fax (336) 883-0867
Organization SubpartNo
Authorized OfficialLenin J PetersCeo · (336) 883-0029
Enumeration DateOctober 19, 2018
Last NPPES UpdateOctober 13, 20254 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1003382839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPodiatristTaxonomy 213E00000X
3801 W MARKET ST, Greensboro, NC 27407

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 13

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2157218

Bethany Medical Center · Greensboro, NC
Active · expires Oct 31, 2026
CLIA Number34D2157218
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorArmad Mougali
Laboratory Phone(336) 883-0029
Laboratory LocationBethany Medical Center3801 West Market Street, Greensboro, NC 27407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2179162

Bethany Medical Center · Kernersville, NC
Active · expires Feb 17, 2028
CLIA Number34D2179162
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorWayne Beauford
Laboratory Phone(336) 883-0029
Laboratory LocationBethany Medical Center975 Highway 66 South, Kernersville, NC 27284
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 34D2089959

Bethany Medical Center · Kernersville, NC
Active · expires Jan 12, 2028
CLIA Number34D2089959
Laboratory TypeIndependent
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorDr. Davonia Michael
Laboratory Phone(336) 883-0029
Laboratory LocationBethany Medical Center495-R Arbor Hill Road, Kernersville, NC 27284
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 34D2105473

Bethany Medical Center · N Wilkesboro, NC
Active · expires Nov 15, 2027
CLIA Number34D2105473
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorDavid Jaroszewski
Laboratory Phone(336) 883-0029
Laboratory LocationBethany Medical Center1103 West D Street, N Wilkesboro, NC 28659
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0979446

Bethany Medical Center · Greensboro, NC
Active · expires Sep 4, 2027
CLIA Number34D0979446
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorEnrico G. Jones
Laboratory Phone(336) 883-0029
Laboratory LocationBethany Medical Center410 College Rd, Greensboro, NC 27410
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 34D0238136

Bethany Medical Center · High Point, NC
Active · expires May 31, 2027
CLIA Number34D0238136
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorFernando Sanchez-Brugal
Laboratory Phone(336) 883-0029
Laboratory LocationBethany Medical Center507 Lindsay Street, High Point, NC 27262
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Cardiovascular Disease)
3801 W MARKET ST
GREENSBORO, NC 27407
Radiology (Diagnostic Radiology)
3801 W MARKET ST
GREENSBORO, NC 27407
Family Medicine
3801 W MARKET ST
GREENSBORO, NC 27407
Nurse Practitioner (Psychiatric/Mental Health)
3801 W MARKET ST
GREENSBORO, NC 27407
Neuromusculoskeletal Medicine, Sports Medicine
3801 W MARKET ST
GREENSBORO, NC 27407
Family Medicine
3801 W MARKET ST
GREENSBORO, NC 27407
Pain Medicine (Pain Medicine)
3801 W MARKET ST
GREENSBORO, NC 27407
General Practice
3801 W MARKET ST
GREENSBORO, NC 27407

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 Bethany Medical Center's NPI number?

The NPI number for Bethany Medical Center is 1003382839. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Bethany Medical Center located?

Bethany Medical Center is located at 3801 W Market St, Greensboro, NC 27407. The listed phone number is (336) 883-0029.

What is Bethany Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bethany Medical Center hold CLIA laboratory certificates?

Yes. 13 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bethany Medical Center accept?

Health plans from Blue Cross and Blue Shield of NC list Bethany Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Medical Center was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.