BETHANY MEDICAL CENTER, PA
NPI 1174722391
Internal Medicine - Cardiovascular Disease in High Point, NC

Active since July 17, 2007
3610 PETERS CT, HIGH POINT, NC 27265(336) 883-0029(336) 883-8988 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bethany Medical Center, Pa NPPES

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

BETHANY MEDICAL CENTER, PA (NPI 1174722391) is a healthcare organization registered as a cardiovascular disease in High Point, North Carolina and active in the NPI registry since July 2007. The organization lists Lenin J Peters, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174722391
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBETHANY MEDICAL CENTER, PA
Location Address3610 PETERS CTHigh Point, NC 27265-9004
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 883-0029 · Fax (336) 883-8988
Fax(336) 883-8988
Organization SubpartNo
Authorized OfficialLenin J PetersPresident/ceo · (336) 883-0029
Enumeration DateJuly 17, 2007
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1174722391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
3610 PETERS CT, High Point, NC 27265

Other Identifiers 1

Medicaid5907644NC

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

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, Pa 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.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20041013000729Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Bethany Medical Center, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 45 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner31
Internal Medicine14
Certified Registered Nurse Anesthetist (CRNA)4
Family Practice4
Cardiovascular Disease (Cardiology)3
Gastroenterology3
General Practice2
Anesthesiology1
6 other specialties6

Nearest to this location (20)

See all 68
Nurse Practitioner
NPI 1881331593
3610 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1447290242
3610 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1730193665
3604 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1861614331
3604 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1497754600
3605 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053287003
1580 SKEET CLUB RD
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1427218122
1580 SKEET CLUB RD
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1871731836
1580 SKEET CLUB RD
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1275663593
1580 SKEET CLUB RD
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023567989
1580 SKEET CLUB RD
High Point, NC 27265
(336) 883-0029
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1457024226
108 W MAIN ST STE E
Jamestown, NC 27282
(336) 883-0029
✔ PECOS✔ Accepts Medicare3.3 mi
Internal Medicine
NPI 1710082425
819 N MAIN ST STE 112
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare5.1 mi
Pulmonary Disease
NPI 1043232606
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare5.5 mi
Nurse Practitioner
NPI 1326750514
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare5.5 mi
Anesthesiology
NPI 1972565646
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare5.5 mi
Neurology
NPI 1487610713
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare5.5 mi
Gastroenterology
NPI 1083638860
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS5.5 mi
General Practice
NPI 1780680389
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare5.5 mi
Family Practice
NPI 1245291863
410 COLLEGE RD
Greensboro, NC 27410
(336) 218-0994
✔ PECOS✔ Accepts Medicare5.7 mi
Psychiatry
NPI 1942269766
603 DOLLEY MADISON RD STE 100
Greensboro, NC 27410
(336) 632-3505
✔ PECOS✔ Accepts Medicare6.1 mi
See all 68 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, PA's NPI number?

The NPI number for Bethany Medical Center, PA is 1174722391. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is Bethany Medical Center, PA located?

Bethany Medical Center, PA is located at 3610 Peters Ct, High Point, NC 27265. The listed phone number is (336) 883-0029.

What is Bethany Medical Center, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Bethany Medical Center, PA enrolled in Medicare?

Yes. Bethany Medical Center, PA is registered in the Medicare PECOS enrollment system.

When is Bethany Medical Center, PA'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, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 14 Medicare specialties reassign their Medicare billing to Bethany Medical Center, PA. 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, 4 practice at this address and 45 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bethany Medical Center, PA accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Bethany Medical Center, PA 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, PA 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.