BETHANY MEDICAL CENTER
NPI 1861049231
Internal Medicine in Kernersville, NC

Active since August 21, 2019
975 NC HIGHWAY 66 S, KERNERSVILLE, NC 27284(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: Mar 21, 2025, Feb 3, 2020, Aug 21, 2019 (3 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 1861049231) is a healthcare organization registered as an internal medicine in Kernersville, North Carolina and active in the NPI registry since August 2019. The organization lists Lenin J Peters, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861049231
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETHANY MEDICAL CENTER
Location Address975 NC HIGHWAY 66 SKernersville, NC 27284-3132
Mailing Address507 N Lindsay StHigh Point, NC 27262-4303 · (336) 883-0029 · Fax (336) 883-0867
Organization SubpartNo
Authorized OfficialLenin J PetersCeo · (336) 883-0029
Enumeration DateAugust 21, 2019
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1861049231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
975 NC HIGHWAY 66 S, Kernersville, NC 27284

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, 2 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
Internal Medicine
NPI 1285920512
975 NC HIGHWAY 66 S
Kernersville, NC 27284
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134245343
975 NC HIGHWAY 66 S
Kernersville, NC 27284
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1316913098
3402 BATTLEGROUND AVE
Greensboro, NC 27410
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1467012054
3402 BATTLEGROUND AVE
Greensboro, NC 27410
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1215707096
3402 BATTLEGROUND AVE
Greensboro, NC 27410
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1801674536
3402 BATTLEGROUND AVE
Greensboro, NC 27410
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1396576724
3402 BATTLEGROUND AVE
Greensboro, NC 27410
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679031207
1200 N ELM ST
Greensboro, NC 27401
(336) 832-7000
✔ Accepts Medicare21 mi
Psychiatry
NPI 1942269766
603 DOLLEY MADISON RD STE 100
Greensboro, NC 27410
(336) 632-3505
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1245291863
410 COLLEGE RD
Greensboro, NC 27410
(336) 218-0994
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1720865306
410 COLLEGE RD
Greensboro, NC 27410
(336) 218-0994
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1417991613
3801 W MARKET ST
Greensboro, NC 27407
(336) 883-0029
✔ PECOS✔ Accepts Medicare23 mi
Critical Care (Intensivists)
NPI 1962768580
3801 W MARKET ST
Greensboro, NC 27407
(336) 883-0029
✔ PECOS✔ Accepts Medicare23 mi
Cardiovascular Disease (Cardiology)
NPI 1063533875
3801 W MARKET ST
Greensboro, NC 27407
(336) 883-0029
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1477116424
3801 W MARKET ST
Greensboro, NC 27407
(336) 883-0029
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1982568580
3801 W MARKET ST
Greensboro, NC 27407
(336) 289-2287
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1558439554
3801 W MARKET ST
Greensboro, NC 27407
(336) 883-0029
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1669202883
2211 W MEADOWVIEW RD # 150
Greensboro, NC 27407
(919) 870-8409
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1962038406
975 NC HIGHWAY 66 S
Kernersville, NC 27284
(336) 289-2293
✔ PECOS26 mi
Pathology
NPI 1144381401
495 ARBOR HILL RD STE M
Kernersville, NC 27284
(336) 883-0029
✔ PECOS✔ Accepts Medicare27 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 1861049231. It was assigned to this organization in the NPPES registry on August 21, 2019.

Where is Bethany Medical Center located?

Bethany Medical Center is located at 975 Nc Highway 66 S, Kernersville, NC 27284. The listed phone number is (336) 883-0029.

What is Bethany Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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. 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.