BETHANY MEDICAL CENTER
NPI 1528525839
Nurse Practitioner in Mount Airy, NC
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
Specialties & Licenses 7
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, 2 practice at this address and 3 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
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, 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 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.
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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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 June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 1528525839
Nurse Practitioner organization in Mount Airy, North Carolina. Organization record, active in the CMS NPPES registry since February 22, 2019.
## Identity
- **NPI:** 1528525839 (Entity type: Organization)
- **Enumerated:** February 22, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Lenin Peters, CEO
## Practice location
- **Address:** 1908 CAUDLE DR STE 105, Mount Airy, NC 27030-4322
- **Phone:** (336) 883-0029 · **Fax:** (336) 883-0867
## 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); 2 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1528525839/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528525839) · Data from the CMS NPPES public registry.