Bethesda Clinic PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24653 Issued in NC

Legal business name

BETHESDA CLINIC PA

Practice address

3000 Bethesda Place
Ste 101 Bethesda Clinic PA
Winston Salem, NC 27103

Phone

(336) 765-9750

Fax

(336) 765-9710

NPI assigned

Jun 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy S Gaby, MD

Title

MD

Phone

(336) 765-9750

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023056603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PLACE",
            "address_2": "STE 101 BETHESDA CLINIC PA",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-9750",
            "fax_number": "336-765-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PLACE",
            "address_2": "STE 101 BETHESDA CLINIC PA",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-9750",
            "fax_number": "336-765-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "336-765-9750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "24653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934253",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Medical Center
• Bethany Medical Center
• Bethany Medical Center, PA
• James Frank Bethea, MD
• Nancy Marie Bethea, LPC
• Bethesda Eye Center, Optometry, PA
• Jonathan Blair Bethiel, MD
• Better Opportunities LLC
• Bettertherapy LLC
• Kristen Marisa Bettis, CRNA

• Psychiatry Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.