BETHANY MEDICAL CENTER
NPI 1508341736
Anesthesiology - Pain Medicine in North Wilkesboro, NC

Active since October 03, 2018
1103 W D ST, NORTH WILKESBORO, NC 28659(336) 883-0029 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2022, Oct 22, 2019, Oct 3, 2018 (3 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 1508341736) is a healthcare organization registered as a pain medicine in North Wilkesboro, North Carolina and active in the NPI registry since October 2018. The organization lists Elise Peters, President, as its authorized official.

NPPES Registry Identity

NPI1508341736
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameBETHANY MEDICAL CENTER
Location Address1103 W D STNorth Wilkesboro, NC 28659-4141
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 883-0029 · Fax (336) 899-2176
Organization SubpartNo
Authorized OfficialElise PetersPresident · (336) 883-0029
Enumeration DateOctober 3, 2018
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1508341736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1103 W D ST, North Wilkesboro, NC 28659

Other Names 1

Other NameBethany Medical Center - Wilkesboro

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 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, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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 1992438998
1103 W D ST
North Wilkesboro, NC 28659
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639120058
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-4239
✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1417652538
1908 CAUDLE DR STE 105
Mount Airy, NC 27030
(336) 883-0029
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1245916725
1908 CAUDLE DR STE 105
Mount Airy, NC 27030
(336) 883-0029
✔ PECOS✔ Accepts Medicare66 mi
Cardiovascular Disease (Cardiology)
NPI 1780780031
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-6674
✔ PECOS✔ Accepts Medicare73 mi
Family Practice
NPI 1881648186
5093 UNIVERSITY PKWY
Winston Salem, NC 27106
(336) 883-0029
✔ PECOS✔ Accepts Medicare74 mi
General Practice
NPI 1598880791
5093 UNIVERSITY PKWY
Winston Salem, NC 27106
(336) 883-0029
✔ PECOS74 mi
Pathology
NPI 1144381401
495 ARBOR HILL RD STE M
Kernersville, NC 27284
(336) 883-0029
✔ PECOS✔ Accepts Medicare84 mi
Pulmonary Disease
NPI 1043232606
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare87 mi
Internal Medicine
NPI 1609095173
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare87 mi
Anesthesiology
NPI 1972565646
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare87 mi
Internal Medicine
NPI 1063701035
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare87 mi
Neurology
NPI 1487610713
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare87 mi
Gastroenterology
NPI 1083638860
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS87 mi
General Practice
NPI 1780680389
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare87 mi
Dermatology
NPI 1497754600
3605 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare89 mi
Cardiovascular Disease (Cardiology)
NPI 1447290242
3610 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare89 mi
Gastroenterology
NPI 1427218122
1580 SKEET CLUB RD
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare89 mi
Psychiatry
NPI 1942269766
603 DOLLEY MADISON RD STE 100
Greensboro, NC 27410
(336) 632-3505
✔ PECOS✔ Accepts Medicare95 mi
Critical Care (Intensivists)
NPI 1962768580
3801 W MARKET ST
Greensboro, NC 27407
(336) 883-0029
✔ PECOS✔ Accepts Medicare97 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's NPI number?

The NPI number for Bethany Medical Center is 1508341736. It was assigned to this organization in the NPPES registry on October 3, 2018. The provider is also known as Bethany Medical Center - Wilkesboro.

Where is Bethany Medical Center located?

Bethany Medical Center is located at 1103 W D St, North Wilkesboro, NC 28659. The listed phone number is (336) 883-0029.

What is Bethany Medical Center's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.