BETHANY MEDICAL CENTER
NPI 1528525839
Nurse Practitioner in Mount Airy, NC

Active since February 22, 2019CLIA 34D2162485 · Waiver
1908 CAUDLE DR STE 105, MOUNT AIRY, NC 27030(336) 883-0029(336) 883-0867 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Mar 21, 2025, Aug 29, 2022 and 1 more (4 updates tracked since 2019).

About Bethany Medical Center NPPES

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

BETHANY MEDICAL CENTER (NPI 1528525839) is a healthcare organization registered as a nurse practitioner in Mount Airy, North Carolina and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Lenin J Peters, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528525839
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBETHANY MEDICAL CENTER
Location Address1908 CAUDLE DR STE 105Mount Airy, NC 27030-4322
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (369) 670-8463 · Fax (336) 899-2176
Fax(336) 883-0867
Organization SubpartNo
Authorized OfficialLenin J PetersCeo · (336) 883-0029
Enumeration DateFebruary 22, 2019
Last NPPES UpdateJune 24, 20264 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1528525839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1908 CAUDLE DR STE 105, Mount Airy, NC 27030

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

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 34D2162485

Bethany Medical Center · Mt Airy, NC
Active · expires Feb 22, 2027
CLIA Number34D2162485
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorFernando Sanchez
Laboratory Phone(336) 967-0846
Laboratory LocationBethany Medical Center1908 Caudle Drive, Suite 100 & 105, Mt Airy, NC 27030
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
1908 CAUDLE DR STE 105
MOUNT AIRY, NC 27030
Pain Medicine (Pain Medicine)
1908 CAUDLE DR STE 105
MOUNT AIRY, NC 27030
Nurse Practitioner (Family)
1908 CAUDLE DR STE 105
MOUNT AIRY, NC 27030

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 1528525839. It was assigned to this organization in the NPPES registry on February 22, 2019.

Where is Bethany Medical Center located?

Bethany Medical Center is located at 1908 Caudle Dr Ste 105, Mount Airy, NC 27030. The listed phone number is (336) 883-0029.

What is Bethany Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Bethany Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2162485) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.