BETHANY MEDICAL CENTER
NPI 1003382839
Family Medicine in Greensboro, NC
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 8 active CLIA laboratory certificates and lists Lenin J Peters, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bethany Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to Bethany Medical Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 68Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 9
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 34D1083491
Bethany Medical Center · High Point, NCCertificate of Accreditation 34D2089959
Bethany Medical Center · Kernersville, NCCertificate for Provider-Performed Microscopy Procedures (PPMP) 34D0979446
Bethany Medical Center · Greensboro, NCCertificate of Waiver 34D0238136
Bethany Medical Center · High Point, NCCertificate of Compliance 34D2071661
Bethany Medical Center · Kernersville, NCCertificate of Waiver 34D2280734
Bethany Medical Center · Jamestown, NCFrequently 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.
Is Bethany Medical Center enrolled in Medicare?
Yes. Bethany Medical Center is registered in the Medicare PECOS enrollment system.
When is Bethany Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bethany Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 14 Medicare specialties reassign their Medicare billing to Bethany Medical Center. A 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 the clinician's services. The largest specialties are Nurse Practitioner (31), Internal Medicine (14) and Certified Registered Nurse Anesthetist (CRNA) (4). Of these, 6 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bethany Medical Center hold CLIA laboratory certificates?
Yes. 8 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 and Cigna Healthcare 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 12 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.
# Bethany Medical Center · NPI 1003382839
Family Medicine organization in Greensboro, North Carolina. Organization record, active in the CMS NPPES registry since October 19, 2018.
## Identity
- **NPI:** 1003382839 (Entity type: Organization)
- **Enumerated:** October 19, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Lenin Peters, CEO
## Practice location
- **Address:** 3801 W MARKET ST, Greensboro, NC 27407-1301
- **Phone:** (336) 883-0029
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 68 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Internal Medicine (14), Certified Registered Nurse Anesthetist (CRNA) (4); 6 practice at this address and 27 within 10 miles; [full list](https://npiprofile.com/npi/1003382839/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
- **CLIA laboratory certificates:** 9 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003382839) · Data from the CMS NPPES public registry.