BETHANY MEDICAL CENTER
NPI 1992133870
Pathology - Anatomic Pathology & Clinical Pathology in Wilkesboro, NC
About Bethany Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY MEDICAL CENTER (NPI 1992133870) is a healthcare organization registered as an anatomic pathology & clinical pathology in Wilkesboro, North Carolina and active in the NPI registry since October 2013. The organization lists Mandy Womble, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 4
Group Practice 1
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. 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.
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 1992133870. It was assigned to this organization in the NPPES registry on October 31, 2013. The provider is also known as Bethany Pathology Lab.
Where is Bethany Medical Center located?
Bethany Medical Center is located at 100 N Bridge St Suite C, Wilkesboro, NC 28697. The listed phone number is (336) 883-0029.
What is Bethany Medical Center's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Bethany Medical Center · NPI 1992133870
Anatomic Pathology & Clinical Pathology organization in Wilkesboro, North Carolina. Organization record, active in the CMS NPPES registry since October 31, 2013.
## Identity
- **NPI:** 1992133870 (Entity type: Organization)
- **Enumerated:** October 31, 2013
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Also known as:** Bethany Pathology Lab (Other Name)
- **Organization subpart:** Yes (part of Bethany Medical Center)
- **Authorized official:** Mandy Womble, CFO
## Practice location
- **Address:** 100 N BRIDGE ST, SUITE C, Wilkesboro, NC 28697-2488
- **Phone:** (336) 883-0029 · **Fax:** (336) 899-2188
## 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); [full list](https://npiprofile.com/npi/1992133870/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
- **Other identifiers:** Medicaid 89011F1 (NC); Medicaid 3409940 (NC); Medicaid 5907644 (NC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1992133870) · Data from the CMS NPPES public registry.