MEDICARE: BETHANY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	208VP0000X	Pain Medicine Physician
4	363A00000X	Physician Assistant
5	363LF0000X	Family Nurse Practitioner
6	207N00000X	Dermatology Physician
7	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1528525839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHANY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	645 N MAIN ST
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27260-5017
Country	:	US
Telephone Number	:	369-670-8463
Fax Number	:	336-899-2176

Provider Business Practice Location Address
First Line	:	1908 CAUDLE DR STE 105
Second Line	:
City	:	MOUNT AIRY
State	:	NC
Zip	:	27030-4322
Country	:	US
Telephone Number	:	336-883-0029
Fax Number	:	336-883-0867

Authorized Official
Title or Position	:	CEO
Name	:	LENIN J PETERS
Credential	:	MD
Telephone Number	:	336-883-0029

Provider Enumeration Date	:	02/22/2019
Last Update Date	:	10/13/2025

Similar Medicare Providers

1821068768 — SALLIE LYNN STALEY PA-C
Practice Location Address:

1908 CAUDLE DR STE 200
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-783-6935
Practice Fax: 336-783-6934

1619947215 — DR. SUSAN JEAN HINES
Practice Location Address:

1908 CAUDLE DR STE 200
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-783-6935
Practice Fax: 336-783-6934

1356315113 — KARIN FRANCES GIORDANO M.D.
Practice Location Address:

1908 CAUDLE DR STE 200
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-783-6935
Practice Fax:

1396161550 — SHERRY HINSON PA
Practice Location Address:

1908 CAUDLE DR STE 105
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-883-0029
Practice Fax: 336-756-7903

1730687476 — DANIEL DEAN WATSON NP
Practice Location Address:

1908 CAUDLE DR STE 100
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-883-0029
Practice Fax: 336-883-0867

1770056400 — MEDICAL INNOVATIONS CONCEPTS, P.C.
Practice Location Address:

1908 CAUDLE DR STE 100
MOUNT AIRY, NC
27030-4322

Practice Phone: 704-890-8080
Practice Fax:

Directions to “BETHANY MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.